# BLEU HEALTH SPORTS CHIROPRACTIC P C

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1235494840
- **Authorized official:** DR. ANDREW J PARK DC (OWNER)
- **Authorized official phone:** (516) 813-7099

## Contact information

- **Practice address:** 850 7TH AVE, SUITE 302, NEW YORK, NY 10019-5230
- **Practice address phone:** (516) 813-7099
- **Mailing address:** 850 7TH AVE, SUITE 302, NEW YORK, NY 10019-5230
- **Mailing address phone:** (516) 813-7099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | X012187-1 | NY | Yes |

## Other

- **Enumeration date:** 07/10/2012
- **Last updated:** 03/21/2013