Organization
BLEU HEALTH SPORTS CHIROPRACTIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW J PARK DC (OWNER)
(516) 813-7099
Entity
Organization
Contact information
Practice address
850 7TH AVE, SUITE 302, NEW YORK, NY 10019-5230
(516) 813-7099
Mailing address
850 7TH AVE, SUITE 302, NEW YORK, NY 10019-5230
(516) 813-7099
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X012187-1
NY
Other
Enumeration date
07/10/2012
Last updated
03/21/2013
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