# GAMMA CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1023369873
- **Authorized official:** ALEXANDER MAZUROVSKY DC (PRESIDENT)
- **Authorized official phone:** (718) 998-3020

## Contact information

- **Practice address:** 1332 FOREST AVE, STATEN ISLAND, STATEN ISLAND, NY 10302-2043
- **Practice address phone:** (718) 442-8813
- **Practice address fax:** (718) 876-0158
- **Mailing address:** 1332 FOREST AVE, STATEN ISLAND, STATEN ISLAND, NY 10302-2043
- **Mailing address phone:** (718) 442-8813
- **Mailing address fax:** (718) 876-0158

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 009550 | NY | Yes |

## Other

- **Enumeration date:** 09/19/2012
- **Last updated:** 09/19/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 009550 | LICENSE | NY |