ROOSEVELT FAMILY CHIROPRACTIC PC NPI 1760716583

NPI Information

  • NPI: 1760716583
  • Provider Name: ROOSEVELT FAMILY CHIROPRACTIC, PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 6317 ROOSEVELT AVE
    WOODSIDE, NY
    ZIP 11377
  • Phone: (718) 335-7700

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NPI Details

ROOSEVELT FAMILY CHIROPRACTIC, PC is a chiropractor in Woodside, 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. ROOSEVELT FAMILY CHIROPRACTIC, PC NPI is 1760716583. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6317 ROOSEVELT AVE
WOODSIDE, NY
ZIP 11377-641
Phone: (718) 335-7700
Fax: (718) 335-2254

The provider's authorized official is Mehrzad Issac Kohansieh .
The authorized official title is Owner and has the following contact phone number (718) 335-7700.

The enumeration date for this NPI number is 9/25/2009 and was last updated on 9/25/2009.

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
1111N00000XChiropractorXOO7887-1NEW 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: 3/30/2025

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