# BODY IN BALANCE CHIROPRACTIC, LLC

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

## Provider details

- **NPI number:** 1235427519
- **Authorized official:** JAN LEFKOWITZ D.C. (MEMBER)
- **Authorized official phone:** (917) 656-0328

## Contact information

- **Practice address:** 9 E 45TH ST, SIXTH FLOOR, NEW YORK, NY 10017-2425
- **Practice address phone:** (212) 371-5788
- **Practice address fax:** (212) 697-2725
- **Mailing address:** 9 E 45TH ST, SIXTH FLOOR, NEW YORK, NY 10017-2425
- **Mailing address phone:** (212) 371-5788
- **Mailing address fax:** (212) 697-2725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X010193 | NY | Yes |

## Other

- **Enumeration date:** 07/20/2011
- **Last updated:** 07/20/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A300000675 | MEDICARE PTAN | NY |