# FRESH MEADOWS CHIROPRACTIC P.C.

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

## Provider details

- **NPI number:** 1316032253
- **Authorized official:** DR. JEROLD BLATT (PRES)
- **Authorized official phone:** (718) 454-0737

## Contact information

- **Practice address:** 184 17 UNION TURNPIKE, FRESH MEADOWS, NY 11365
- **Practice address phone:** (718) 454-0737
- **Practice address fax:** (718) 454-1819
- **Mailing address:** 184 17 UNION TURNPIKE, FRESH MEADOWS, NY 11365
- **Mailing address phone:** (718) 454-0737
- **Mailing address fax:** (718) 454-1819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NY | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 02/11/2015