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PARK PLACE CHIROPRACTIC PLLC NPI 1871962258


NPI Information

NPI: 1871962258
Provider Name: PARK PLACE CHIROPRACTIC PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
109 ECHO AVE
MILLER PLACE, NY
ZIP 11764
Phone: (631) 331-5353
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PARK PLACE CHIROPRACTIC PLLC is a chiropractor in Miller Place, NY. The provider is 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. PARK PLACE CHIROPRACTIC PLLC NPI is 1871962258. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

109 ECHO AVE
MILLER PLACE, NY
ZIP 11764-205
Phone: (631) 331-5353
Fax: (631) 331-3948

The provider's authorized official is Jesse Elsholz .
The authorized official title is Owner and has the following contact phone number (631) 331-5353.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 9/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorX011327NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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