MEDICARE: BAY RIDGE CHIROPRACTIC HEALTHCARE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP3300X	Pain Clinic/Center	X008188	NY

General Provider Information

NPI Number	:	1346568516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BAY RIDGE CHIROPRACTIC HEALTHCARE PC

Provider Business Mailing Address
First Line	:	140 87TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4916
Country	:	US
Telephone Number	:	718-745-8331
Fax Number	:	718-745-8395

Provider Business Practice Location Address
First Line	:	140 87TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11209-4916
Country	:	US
Telephone Number	:	718-745-8331
Fax Number	:	718-745-8395

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAREY H SKORSKI
Credential	:	D.C.
Telephone Number	:	718-745-8331

Provider Enumeration Date	:	05/12/2010
Last Update Date	:	01/20/2011

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