# ADVANTAGE CHIROPRACTIC AND SPORTS REHAB

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mitchell B Green DC DACRB
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538989405
- **Authorized official:** DR. MITCHELL B GREEN DC, DACRB (OWNER / PROVIDER)
- **Authorized official phone:** (212) 269-0300

## Contact information

- **Practice address:** 344 W 51ST ST, NEW YORK, NY 10019-6402
- **Practice address phone:** (212) 269-0300
- **Practice address fax:** (866) 347-0843
- **Mailing address:** 344 W 51ST ST, NEW YORK, NY 10019-6402
- **Mailing address phone:** (212) 269-0300
- **Mailing address fax:** (866) 347-0843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | Yes |
| 111NR0400X | Rehabilitation Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 10/15/2024
- **Last updated:** 10/15/2024