Organization
TS CHIROPRACTIC WELLNESS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA SMITH D.C. (PRESIDENT)
(718) 490-0557
Entity
Organization
Contact information
Practice address
1735 PITKIN AVE., BROOKLYN, NY 11212-6603
(718) 490-0557
Mailing address
15-41 212TH STREET, BAYSIDE, NY 11360-1109
(718) 490-0557
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
X009921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X009921
LICENSE
NY
Enumeration date
07/27/2016
Last updated
07/27/2016
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