Organization · Type 2 NPI
Premium Chiropractic
Chiropractor · Jericho, NY
NPI number
1629419304
Active
Practice location
325 N Broadway
Jericho, NY 11753-2015
Fax (516) 433-8723
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X08707 (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.
Another provider at this address
Other chiropractor providers in Jericho
About NPI 1629419304
Premium Chiropractic's National Provider Identifier is 1629419304, issued on Jul 10, 2013. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Jericho, NY. The record was last updated on Jul 10, 2013.