# BODY BY DESIGN WELLNESS CHIROPRACTIC PLLC

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

## Provider details

- **NPI number:** 1083075055
- **Authorized official:** DR. RYAN D BRAVERMAN DC (OWNER)
- **Authorized official phone:** (516) 279-6330

## Contact information

- **Practice address:** 500 OLD COUNTRY RD, SUITE 314, GARDEN CITY, NY 11530-1901
- **Practice address phone:** (516) 279-6330
- **Mailing address:** 500 OLD COUNTRY RD, SUITE 314, GARDEN CITY, NY 11530-1901
- **Mailing address phone:** (516) 279-6330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X-011545-1 | NY | Yes |

## Other

- **Enumeration date:** 03/17/2016
- **Last updated:** 03/17/2016