# PARK AVENUE CHIROPRACTIC

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

## Provider details

- **NPI number:** 1326247362
- **Authorized official:** DR. SCOTT BERG D.C. (PRESIDENT)
- **Authorized official phone:** (516) 433-4114

## Contact information

- **Practice address:** 195 PARK AVE, BETHPAGE, NY 11714-4428
- **Practice address phone:** (516) 433-4114
- **Practice address fax:** (516) 938-3820
- **Mailing address:** 195 PARK AVE, BETHPAGE, NY 11714-4428
- **Mailing address phone:** (516) 433-4114
- **Mailing address fax:** (516) 938-3820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X006738 | NY | Yes |

## Other

- **Enumeration date:** 07/11/2007
- **Last updated:** 07/11/2007