# PARK AVENUE CHIROPRACTIC HEALTHCARE P.C.

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

## Provider details

- **NPI number:** 1154627446
- **Authorized official:** SAMUE C PARK (D.C.)
- **Authorized official phone:** (718) 321-3962

## Contact information

- **Practice address:** 14627 BEECH AVE, SUITE \#1C, FLUSHING, NY 11355-2172
- **Practice address phone:** (718) 321-3962
- **Mailing address:** 14627 BEECH AVE, SUITE \#1C, FLUSHING, NY 11355-2172
- **Mailing address phone:** (718) 321-3962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009870 | NY | Yes |

## Other

- **Enumeration date:** 02/03/2011
- **Last updated:** 04/25/2011