Organization
PLAZA CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIO WALDEMAR PAEZ D.C. (DIRECTOR)
(718) 275-4141
Entity
Organization
Contact information
Practice address
63-32 99TH ST, REGO PARK, NY 11374-1941
(718) 275-4141
(718) 275-1805
Mailing address
6332 99TH ST, REGO PARK, NY 11374-1941
(718) 275-4141
(718) 275-1805
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528178035
NPI
PR
Enumeration date
04/27/2007
Last updated
08/22/2020
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