# JEFFREY HERZLICH DC PC

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

## Provider details

- **NPI number:** 1699041939
- **Authorized official:** DR. JEFFREY HERZLICH D.C. (OWNER)
- **Authorized official phone:** (718) 805-1010

## Contact information

- **Practice address:** 8437 MAIN ST, BRIARWOOD, NY 11435-1643
- **Practice address phone:** (718) 805-1010
- **Practice address fax:** (718) 805-1038
- **Mailing address:** 8437 MAIN ST, BRIARWOOD, NY 11435-1643
- **Mailing address phone:** (718) 805-1010
- **Mailing address fax:** (718) 805-1038

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X002653 | NY | Yes |

## Other

- **Enumeration date:** 03/30/2012
- **Last updated:** 03/30/2012