Organization
PARK AVENUE CHIROPRACTIC HEALTHCARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUE C PARK (D.C.)
(718) 321-3962
Entity
Organization
Contact information
Practice address
14627 BEECH AVE, SUITE #1C, FLUSHING, NY 11355-2172
(718) 321-3962
Mailing address
14627 BEECH AVE, SUITE #1C, FLUSHING, NY 11355-2172
(718) 321-3962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009870
NY
Other
Enumeration date
02/03/2011
Last updated
04/25/2011
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