Healthcare Provider Details

I. General information

NPI: 1033030150
Provider Name (Legal Business Name): BALANCE CHIROPRACTICE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

517 3RD AVE STORE LEFT
BROOKLYN NY
11215-4635
US

IV. Provider business mailing address

517 3RD AVE
BROOKLYN NY
11215-4635
US

V. Phone/Fax

Practice location:
  • Phone: 917-474-0308
  • Fax:
Mailing address:
  • Phone: 917-474-0308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: RICHARD LAMBERTSON
Title or Position: OWNER
Credential:
Phone: 917-474-0308