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Organization
PARK AVENUE CHIROPRACTIC PC
Active
Organization
PARK AVENUE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY JACOBS DC (OWNER/PRESIDENT)
(212) 696-4444
Entity
Organization
Contact information
Practice address
67 PARK AVE, SUITE 1C, NEW YORK, NY 10016-2557
(212) 696-4444
(212) 696-4640
Mailing address
67 PARK AVE, SUITE 1C, NEW YORK, NY 10016-2557
(212) 696-4444
(212) 696-4640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002654
NY
Other
Enumeration date
06/30/2009
Last updated
02/13/2012
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