# JAZ CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1245577725
- **Authorized official:** TARA SMITH D.C. (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (718) 490-0557

## Contact information

- **Practice address:** 212 MIDDLE NECK ROAD SUITE 7, GREAT NECK, NY 11021
- **Practice address phone:** (718) 490-0557
- **Mailing address:** 1541 212TH ST, BAYSIDE, NY 11360-1109
- **Mailing address phone:** (718) 490-0557

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2013
- **Last updated:** 01/03/2013