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GENESIS CHIROPRACTIC PAIN MANAGEMENT P.C. NPI 1629360805


NPI Information

NPI: 1629360805
Provider Name: GENESIS CHIROPRACTIC PAIN MANAGEMENT P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
164 EAST PENN STREET
LONG BEACH, NY
ZIP 11561
Phone: (646) 581-2541
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GENESIS CHIROPRACTIC PAIN MANAGEMENT P.C. is a chiropractor in Long Beach, NY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. GENESIS CHIROPRACTIC PAIN MANAGEMENT P.C. NPI is 1629360805. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

164 EAST PENN STREET
LONG BEACH, NY
ZIP 11561
Phone: (646) 581-2541
Fax: (718) 301-1804

The provider's authorized official is Mazal Jennifer Suynov .
The authorized official title is Owner and has the following contact phone number (646) 581-2541.

The enumeration date for this NPI number is 5/6/2011 and was last updated on 12/19/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorX011936NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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