Provider Demographics
NPI:1316063167
Name:HONIG, JEANETTE (DC)
Entity type:Individual
Prefix:DR
First Name:JEANETTE
Middle Name:
Last Name:HONIG
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 HOWLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-1026
Mailing Address - Country:US
Mailing Address - Phone:212-307-5578
Mailing Address - Fax:
Practice Address - Street 1:301 HOWLAND AVENUE
Practice Address - Street 2:
Practice Address - City:RIVER EDGE
Practice Address - State:NJ
Practice Address - Zip Code:07661-1939
Practice Address - Country:US
Practice Address - Phone:646-662-2479
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-22
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY-X007097-1111N00000X
NJ38MC00691100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY607898OtherACN
NY5802038OtherGHI
NY5802038OtherGHI
NY607898OtherACN