Organization
EAST PARK CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA JEFFREY GRUSHACK DC (PARTNER)
(516) 431-7972
Entity
Organization
Contact information
Practice address
714 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-7972
(516) 431-7944
Mailing address
714 E PARK AVE, LONG BEACH, NY 11561-2605
(516) 431-7972
(516) 431-7944
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3174
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407896897
NPI
NY
01
—
1972543320
NPI
NY
Enumeration date
04/12/2012
Last updated
04/12/2012
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