# KOSSOVER FAMILY CHIROPRACTIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Soulshine Chiropractic Studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528566999
- **Authorized official:** LARA R KOSSOVER DC (DC)
- **Authorized official phone:** (718) 832-7390

## Contact information

- **Practice address:** 917 8TH AVE, BROOKLYN, NY 11215-4309
- **Practice address phone:** (718) 832-7390
- **Mailing address:** 917 8TH AVE, BROOKLYN, NY 11215-4309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 011558-1 | NY | Yes |

## Other

- **Enumeration date:** 01/31/2018
- **Last updated:** 10/12/2021