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Organization
ICON CHRIPRACTIC P.C
Active
Organization
ICON CHRIPRACTIC P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR MAZUROVSKIY DC (OFFICER)
(917) 648-1005
Entity
Organization
Contact information
Practice address
1840 E 14TH ST, BROOKLYN, NY 11229-2800
(718) 758-5558
Mailing address
4 ARKANSAS AVE, STATEN ISLAND, NY 10308-1502
(917) 648-1005
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009550
NY
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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