Organization · Type 2 NPI
Genesis Chiropractic Pain Management P.c.
Chiropractor · Long Beach, NY
NPI number
1629360805
Active · reactivated Dec 19, 2012
Practice location
164 East Penn Street
Long Beach, NY 11561
Fax (718) 301-1804
Mailing address
PO Box 703
Long Beach, NY 11561-0703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X011936 (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 1629360805
Genesis Chiropractic Pain Management P.c.'s National Provider Identifier is 1629360805, issued on May 6, 2011. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Long Beach, NY. The record was last updated on Dec 19, 2012.