# INTEGRAL PERFORMANCE CHIROPRACTIC PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Integral Health and Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831452473
- **Authorized official:** ALEX KAZHDAN DC (OWNER)
- **Authorized official phone:** (718) 351-5400

## Contact information

- **Practice address:** 235 DONGAN HILLS AVE, SUITE 1E, STATEN ISLAND, NY 10305-1246
- **Practice address phone:** (718) 351-5400
- **Practice address fax:** (718) 351-5433
- **Mailing address:** 235 DONGAN HILLS AVE, SUITE 1E, STATEN ISLAND, NY 10305-1246
- **Mailing address phone:** (718) 351-5400
- **Mailing address fax:** (718) 351-5433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 70 011933 | NY | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | — |

## Other

- **Enumeration date:** 06/19/2012
- **Last updated:** 06/19/2012