# 930 GRAND CONCOURSE CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Professional Corporation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770666125
- **Authorized official:** DR. HENRY NELSON HALL DC (DOCTOR OF CHIROPRACTIC)
- **Authorized official phone:** (718) 537-3392

## Contact information

- **Practice address:** 930 GRAND CONCOURSE, BRONX, NY 10451
- **Practice address phone:** (718) 537-3392
- **Practice address fax:** (718) 537-3394
- **Mailing address:** 930 GRAND CONCOURSE, BRONX, NY 10451
- **Mailing address phone:** (718) 537-3392
- **Mailing address fax:** (718) 537-3394

## Taxonomy

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

## Other

- **Enumeration date:** 10/21/2006
- **Last updated:** 08/22/2020