Organization
MANHASSET CHIROPRACTIC PC
Active
Organization
MANHASSET CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRETT ILG REICHELT D.C. (CHIROPRACTOR)
(631) 682-1544
Entity
Organization
Contact information
Practice address
560 NORTHERN BLVD, STE 106B, GREAT NECK, NY 11021-5118
(516) 466-6164
(516) 304-5712
Mailing address
560 NORTHERN BLVD, STE 106B, GREAT NECK, NY 11021-5118
(516) 466-6164
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
—
—
111NR0400X
Rehabilitation Chiropractor
—
—
111NS0005X
Sports Physician Chiropractor
Primary
—
—
111NX0100X
Occupational Health Chiropractor
—
—
111NX0800X
Orthopedic Chiropractor
—
—
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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