Look up the most recent NPI and PECOS records

Tetsuya Egawa

Chiropractor

Chiropractic Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Tetsuya Egawa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1104976620
Provider Type
Individual
Full Name
Egawa, Tetsuya
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
1/10/2007
Last Updated
7/8/2007

Contact Information

Practice Location

316 E 59th St, New York, NY 10022-1513

(212) 486-8888

(212) 486-9999

Mailing Location

316 E 59th St, New York, NY 10022-1513

(212) 486-8888

(212) 486-9999

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License X011054-1 New York

Provider Identifiers

ID	Description	Issuer
ID P3657369	Description Other	Issuer OXFORD New York

Tetsuya Egawa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Rosenberg, Jeffrey Winkel

Chang, Yu Wei

Randazzo, Joanna Christine

One Chiropractic Nyc, Pllc

Seckendorf, Douglas

Js Park Chiropractic P.C.

M & J Chiropractic P.C.

Naderi, Arezou

Rowe, David J

Marcus, Lauren