Individual provider · Type 1 NPI
Michael Bryan Khodorkovsky, DC
Chiropractor · Fort Lee, NJ
NPI number
1487430278
Active
Practice location
100 Old Palisade Rd Apt 3711
Fort Lee, NJ 07024-7028
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | 38MC00800100 (NJ) |
| Chiropractor Primary | 111N00000X | 013757 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1487430278
Michael Bryan Khodorkovsky, DC's National Provider Identifier is 1487430278, issued on Sep 6, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Lee, NJ. The record was last updated on Sep 6, 2023.