Organization
JAZ CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA SMITH D.C. (DOCTOR OF CHIROPRACTIC)
(718) 490-0557
Entity
Organization
Contact information
Practice address
212 MIDDLE NECK ROAD SUITE 7, GREAT NECK, NY 11021
(718) 490-0557
Mailing address
1541 212TH ST, BAYSIDE, NY 11360-1109
(718) 490-0557
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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