New York Injury Chiropractic Rehab PC
Chiropractor, Rehabilitation in Jackson Heights, NY. Organization (NPI-2).
NPI number1295416618
StatusActive
Last updated in NPPESSep 15, 2023
Details
- NPI
- 1295416618
- Entity type
- Organization (NPI-2)
- Legal business name
- New York Injury Chiropractic Rehab PC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2023
- Certification date
- Sep 15, 2023
- Last updated
- Sep 15, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | – | – | Yes |
| 247200000X | Technician, Other | – | – | |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | |
| 111NX0800X | Chiropractor, Orthopedic | – | – | |
| 225100000X | Physical Therapist | – | – |
Practice location
3723 72nd St Fl 1Jackson Heights, NY 11372-6126
Phone 718-255-1533
Mailing address
3723 72nd St Fl 1Jackson Heights, NY 11372-6126
Phone 443-622-9429
Authorized official
Avianne Waithe
Chiropractic Doctor/Ao
4436229429
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