# ICON CHRIPRACTIC P.C

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

## Provider details

- **NPI number:** 1548304231
- **Authorized official:** ALEKSANDR MAZUROVSKIY DC (OFFICER)
- **Authorized official phone:** (917) 648-1005

## Contact information

- **Practice address:** 1840 E 14TH ST, BROOKLYN, NY 11229-2800
- **Practice address phone:** (718) 758-5558
- **Mailing address:** 4 ARKANSAS AVE, STATEN ISLAND, NY 10308-1502
- **Mailing address phone:** (917) 648-1005

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009550 | NY | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 08/22/2020