Healthcare Provider Details

I. General information

NPI: 1164334777
Provider Name (Legal Business Name): BROTHERLY LOVE INC CHIROPRACTIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 HAWTHORNE ST APT 2E
BROOKLYN NY
11225-5827
US

IV. Provider business mailing address

181 HAWTHORNE ST APT 2E
BROOKLYN NY
11225-5827
US

V. Phone/Fax

Practice location:
  • Phone: 929-382-6418
  • Fax:
Mailing address:
  • Phone: 929-382-6418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. DARNELL ANTHONY SMITH
Title or Position: MD
Credential: MD
Phone: 929-382-6418