Organization
CHIROPRACTIC LONGEVITY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VLAD POGILDAKOV (PRESIDENT)
(917) 318-0784
Entity
Organization
Contact information
Practice address
2349 BENSON AVE # C, BROOKLYN, NY 11214-4351
(917) 318-0784
Mailing address
2349 BENSON AVE APT 2G, BROOKLYN, NY 11214-4343
(917) 318-0784
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011676
NY
Other
Enumeration date
06/11/2009
Last updated
07/30/2009
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