Individual
ARDINA BACOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
427 77TH ST, BROOKLYN, NY 11209-3205
(646) 397-4877
Mailing address
427 77TH ST, BROOKLYN, NY 11209-3205
(646) 397-4877
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0131281
NY
Other
Enumeration date
09/26/2018
Last updated
03/10/2021
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