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Organization
BROADWAY CHIROPRACTIC HEALTH MANAGEMENT
Active
Organization
BROADWAY CHIROPRACTIC HEALTH MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL GRAMSE DC (PRESIDENT/OWNER)
(631) 789-1900
Entity
Organization
Contact information
Practice address
333 BROADWAY STE 2, AMITYVILLE, NY 11701-2719
(631) 789-1900
Mailing address
333 BROADWAY STE 2, AMITYVILLE, NY 11701-2719
(631) 789-1900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007459
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02420208
—
NY
Enumeration date
04/11/2014
Last updated
04/11/2014
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