# MAGENHEIM CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1245500602
- **Authorized official:** DR. LEE MAGENHEIM DC (OWNER)
- **Authorized official phone:** (718) 370-7500

## Contact information

- **Practice address:** 1944 RICHMOND AVE, STATEN ISLAND, NY 10314-3914
- **Practice address phone:** (718) 370-7500
- **Practice address fax:** (718) 370-0850
- **Mailing address:** 1944 RICHMOND AVE, STATEN ISLAND, NY 10314-3914
- **Mailing address phone:** (718) 370-7500
- **Mailing address fax:** (718) 370-0850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X005442 | NY | Yes |

## Other

- **Enumeration date:** 01/03/2012
- **Last updated:** 01/03/2012