# BAYSHORE CHIROPRACTIC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023335619
- **Authorized official:** DR. ROBERT SUPER DC (PRESIDENT)
- **Authorized official phone:** (917) 449-7582

## Contact information

- **Practice address:** 1421 SHEEPSHEAD BAY RD, \# 594, BROOKLYN, NY 11235-3813
- **Practice address phone:** (718) 421-1705
- **Practice address fax:** (516) 378-8088
- **Mailing address:** PO BOX 315, BALDWIN, NY 11510-0315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009043 | NY | Yes |

## Other

- **Enumeration date:** 04/23/2010
- **Last updated:** 04/23/2010