Life Chiropractic

NPI #1609939230 in Ridgewood, New York

Provider Information

NPI Number: 1609939230
Entity Type: Organization
Organization Name: Life Chiropractic
Primary Specialty: Specialist
Enumeration Date: Dec 18, 2006
Last Updated: Mar 10, 2008

Practice Location

Address: 714 SENECA AVE
City: Ridgewood
State: New York
ZIP Code: 11385-2895
Phone: (718) 366-4546

Authorized Official

Name: GARY COHEN
Title: SOLE PROPRIETOR
Phone: (718) 366-4546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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