# BROOKLYN SPINE CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1245550177
- **Authorized official:** MELINDA KELLER DC (OWNER)
- **Authorized official phone:** (718) 234-6200

## Contact information

- **Practice address:** 5911 16TH AVE, BROOKLYN, NY 11204-2114
- **Practice address phone:** (718) 234-6200
- **Practice address fax:** (718) 234-6210
- **Mailing address:** 5911 16TH AVE, BROOKLYN, NY 11204-2114
- **Mailing address phone:** (718) 234-6200
- **Mailing address fax:** (718) 234-6210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0029681 | NY | Yes |

## Other

- **Enumeration date:** 06/02/2010
- **Last updated:** 10/09/2012