# BAK CHIROPRACTIC P.C.

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

## Provider details

- **NPI number:** 1790069391
- **Authorized official:** BRIAN BAK D.C. (CHIROPRACTOR)
- **Authorized official phone:** (917) 715-9059

## Contact information

- **Practice address:** 25512 NORTHERN BLVD, LITTLE NECK, NY 11362-1470
- **Practice address phone:** (718) 279-1234
- **Practice address fax:** (718) 279-1233
- **Mailing address:** 24804 CAMBRIA AVE FL 1, LITTLE NECK, NY 11362-1230
- **Mailing address phone:** (917) 715-9059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 11168 | NY | Yes |

## Other

- **Enumeration date:** 10/01/2011
- **Last updated:** 10/05/2011