# ALEXANDER KHAVASH DC PC

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

## Provider details

- **NPI number:** 1790963460
- **Authorized official:** DR. ALEXANDER KHAVASH DC (OWNER)
- **Authorized official phone:** (718) 788-7007

## Contact information

- **Practice address:** 438 9TH ST, BROOKLYN, NY 11215-4177
- **Practice address phone:** (718) 788-7007
- **Practice address fax:** (718) 788-7707
- **Mailing address:** 223 PICCADILLY DWNS, LYNBROOK, NY 11563-3145
- **Mailing address phone:** (718) 788-7007
- **Mailing address fax:** (718) 788-7707

## Taxonomy

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

## Other

- **Enumeration date:** 02/05/2008
- **Last updated:** 07/10/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 010592-NY | 1199 | NY |
| 05 | — | 02463376 | — | NY |
| 01 | — | 1049460 | ASHN | NY |
| 01 | — | 3422298 | AETNA | NY |
| 01 | — | 5808094 | GHI | NY |
| 01 | — | 660778 | ACN | NY |
| 01 | — | C10592-6W | WORKER'S COMPENSATION | NY |
| 01 | — | P3304901 | OXFORD | NY |
| 01 | — | X8U332 | EMPIRE BCBS | NY |