# CONCOURSE CHIROPRACTIC PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851675268
- **Authorized official:** MRS. ZORA BEDASIE D.C. (OFFICE MANAGER)
- **Authorized official phone:** (718) 733-1000

## Contact information

- **Practice address:** 2676 GRAND CONCOURSE, SUITE A, BRONX, NY 10458-4914
- **Practice address phone:** (718) 733-1000
- **Mailing address:** 2676 GRAND CONCOURSE, SUITE A, BRONX, NY 10458-4914
- **Mailing address phone:** (718) 733-1000
- **Mailing address fax:** (718) 733-0351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | X0046381 | NY | Yes |

## Other

- **Enumeration date:** 10/04/2011
- **Last updated:** 10/04/2011
