MEDICARE: DR ANTHONY BIZ CHIROPRACTIC WELLNESS PLLC

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	111N00000X	Chiropractor	009371	NY

General Provider Information

NPI Number	:	1548544596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR ANTHONY BIZ CHIROPRACTIC WELLNESS PLLC

Provider Business Mailing Address
First Line	:	153 BEACH 123RD ST
Second Line	:
City	:	ROCKAWAY PARK
State	:	NY
Zip	:	11694-1837
Country	:	US
Telephone Number	:	718-531-4325
Fax Number	:	646-435-2418

Provider Business Practice Location Address
First Line	:	2083 E 65TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5913
Country	:	US
Telephone Number	:	718-531-4325
Fax Number	:	646-435-2418

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ANTHONY D BIZ
Credential	:	D.C.
Telephone Number	:	718-531-4325

Provider Enumeration Date	:	10/07/2011
Last Update Date	:	12/23/2013

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