Organization
NY CHIROPRACTIC REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA VAVIKOVA DC (PRESIDENT)
(718) 714-0090
Entity
Organization
Contact information
Practice address
2995 OCEAN PKWY, BROOKLYN, NY 11235-8390
(718) 714-0090
(718) 714-0092
Mailing address
2995 OCEAN PKWY, BROOKLYN, NY 11235-8390
(718) 714-0090
(718) 714-0092
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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