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Organization

ALEXANDER KHAVASH DC PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDER KHAVASH DC (OWNER)
(718) 788-7007
Entity
Organization

Contact information

Practice address
438 9TH ST, BROOKLYN, NY 11215-4177
(718) 788-7007
(718) 788-7707
Mailing address
223 PICCADILLY DWNS, LYNBROOK, NY 11563-3145
(718) 788-7007
(718) 788-7707

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010592-NY
1199
NY
05
02463376
NY
01
1049460
ASHN
NY
01
3422298
AETNA
NY
01
5808094
GHI
NY
01
660778
ACN
NY
01
C10592-6W
WORKER'S COMPENSATION
NY
01
P3304901
OXFORD
NY
01
X8U332
EMPIRE BCBS
NY
Enumeration date
02/05/2008
Last updated
07/10/2008
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