# NORTH BROADWAY CHIROPRACTIC AND PHYSICAL THERAPY, PLLC

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

## Provider details

- **NPI number:** 1821620550
- **Authorized official:** MARISA KELLY (MEDICAL BILLING SUPERVISOR)
- **Authorized official phone:** (914) 476-8600

## Contact information

- **Practice address:** 984 N BROADWAY RM L-09, YONKERS, NY 10701-1318
- **Practice address phone:** (914) 476-8600
- **Mailing address:** 984 N BROADWAY RM L-09, YONKERS, NY 10701-1318
- **Mailing address phone:** (914) 476-8600

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2020
- **Last updated:** 02/11/2020