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DR. MICHAEL BRYAN KHODORKOVSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
100 OLD PALISADE RD APT 3711, FORT LEE, NJ 07024-7028
(347) 831-7984
Mailing address
100 OLD PALISADE RD APT 3711, FORT LEE, NJ 07024-7028
(347) 831-7984

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013757
NY
111N00000X
Chiropractor
38MC00800100
NJ

Other

Enumeration date
09/06/2023
Last updated
09/06/2023
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