Basic Information
Provider Information
NPI: 1730350778
EntityType: 2
ReplacementNPI:  
OrganizationName: SHELDON SINETT DC PC
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: MIDTOWN CHIROPRACTIC AND HEALTH
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 515 MADISON AVE
Address2: SUITE 1906
City: NEW YORK
State: NY
PostalCode: 100225403
CountryCode: US
TelephoneNumber: 2127526770
FaxNumber:  
Practice Location
Address1: 515 MADISON AVE
Address2:  
City: NEW YORK
State: NY
PostalCode: 100225403
CountryCode: US
TelephoneNumber: 2127526770
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/18/2008
LastUpdateDate: 06/24/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SINETT
AuthorizedOfficialFirstName: TODD
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 2127526770
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: DC
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
111N00000XX008113-1NYY193400000X SINGLE SPECIALTY GROUPChiropractic ProvidersChiropractor 

No ID Information.


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