# KJC CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1518102763
- **Authorized official:** DR. KENTIA JEAN-CHARLES DC (CHIROPRACTOR)
- **Authorized official phone:** (516) 341-7706

## Contact information

- **Practice address:** 255 BROADWAY, LYNBROOK, NY 11563-3243
- **Practice address phone:** (516) 341-7706
- **Practice address fax:** (516) 341-7708
- **Mailing address:** 255 BROADWAY, LYNBROOK, NY 11563-3243
- **Mailing address phone:** (516) 341-7706
- **Mailing address fax:** (516) 341-7708

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X011421 | NY | Yes |

## Other

- **Enumeration date:** 12/02/2008
- **Last updated:** 10/18/2021