# NEKTALOV FAMILY CHIROPRACTIC & PT PLLC

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

## Provider details

- **NPI number:** 1790087237
- **Authorized official:** DR. BORIS NEKTALOV DC (CHIROPRACTOR)
- **Authorized official phone:** (347) 829-6322

## Contact information

- **Practice address:** 15031 UNION TPKE, FLUSHING, NY 11367-3927
- **Practice address phone:** (347) 829-6322
- **Mailing address:** PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
- **Mailing address phone:** (631) 264-2035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X011815 | NY | Yes |
| 225100000X | Physical Therapist | — | — | — |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 07/28/2015
