Organization
GENESIS CHIROPRACTIC PAIN MANAGEMENT P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAZAL JENNIFER SUYNOV D.C. (OWNER)
(646) 581-2541
Entity
Organization
Contact information
Practice address
164 EAST PENN STREET, LONG BEACH, NY 11561
(646) 581-2541
(718) 301-1804
Mailing address
PO BOX 703, LONG BEACH, NY 11561-0703
(646) 581-2541
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X011936
NY
Other
Enumeration date
05/06/2011
Last updated
12/19/2012
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