# BROADWAY CHIROPRACTIC HEALTH MANAGEMENT

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

## Provider details

- **NPI number:** 1437578952
- **Authorized official:** MR. MICHAEL GRAMSE DC (PRESIDENT/OWNER)
- **Authorized official phone:** (631) 789-1900

## Contact information

- **Practice address:** 333 BROADWAY STE 2, AMITYVILLE, NY 11701-2719
- **Practice address phone:** (631) 789-1900
- **Mailing address:** 333 BROADWAY STE 2, AMITYVILLE, NY 11701-2719
- **Mailing address phone:** (631) 789-1900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007459 | NY | Yes |

## Other

- **Enumeration date:** 04/11/2014
- **Last updated:** 04/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 02420208 | — | NY |