Park Avenue Chiropractic Healthcare P.c.

NPI #1154627446 in Flushing, New York

Provider Information

NPI Number: 1154627446
Entity Type: Organization
Organization Name: Park Avenue Chiropractic Healthcare P.c.
Primary Specialty: Chiropractor
Enumeration Date: Feb 3, 2011
Last Updated: Apr 25, 2011

Practice Location

Address: 14627 BEECH AVE
Address 2: SUITE #1C
City: Flushing
State: New York
ZIP Code: 11355-2172
Phone: (718) 321-3962

Authorized Official

Name: SAMUE C PARK
Title: D.C.
Phone: (718) 321-3962

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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