GAMMA CHIROPRACTIC PC NPI 1023369873

NPI Information

NPI: 1023369873
Provider Name: GAMMA CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1332 FOREST AVE
STATEN ISLAND
STATEN ISLAND, NY
ZIP 10302
Phone: (718) 442-8813
Get Directions

GAMMA CHIROPRACTIC PC is a chiropractor in Staten Island, 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. GAMMA CHIROPRACTIC PC NPI is 1023369873. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1332 FOREST AVE
STATEN ISLAND
STATEN ISLAND, NY
ZIP 10302-043
Phone: (718) 442-8813
Fax: (718) 876-0158

The provider's authorized official is Alexander Mazurovsky .
The authorized official title is President and has the following contact phone number (718) 998-3020.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

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
1	111N00000X	Chiropractor		009550	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	009550	OTHER	NEW YORK	LICENSE
2	X1D031	MEDICARE PIN	NEW YORK

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: 4/28/2024

NPI Synchronization or Removal

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