# BORO CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1306085774
- **Authorized official:** DR. TODD L LEBSON DC (PRESIDENT)
- **Authorized official phone:** (516) 802-2476

## Contact information

- **Practice address:** 3808 14TH AVE, BROOKLYN, NY 11218-3610
- **Practice address phone:** (718) 972-4004
- **Mailing address:** 4 MORRIS CT, SYOSSET, NY 11791-1825
- **Mailing address phone:** (516) 802-2476
- **Mailing address fax:** (516) 422-5386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X008647 | NY | Yes |

## Other

- **Enumeration date:** 02/09/2009
- **Last updated:** 02/09/2009