Healthcare Provider Details

I. General information

NPI: 1043322506
Provider Name (Legal Business Name): HANDS, HEART & LOVE CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 01/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3099 CONEY ISLAND AVE 3RD FLOOR
BROOKLYN NY
11235-6305
US

IV. Provider business mailing address

2790 BRAGG ST 403
BROOKLYN NY
11235-1146
US

V. Phone/Fax

Practice location:
  • Phone: 718-376-2010
  • Fax: 718-616-0086
Mailing address:
  • Phone: 718-376-2010
  • Fax: 718-616-0086

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberX010033
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code111NI0900X
TaxonomyInternist Chiropractor
License NumberX010033
License Number StateNY

VIII. Authorized Official

Name: DR. GORELIK GORELIK
Title or Position: PRESIDENT
Credential: CHIROPRACTOR
Phone: 718-376-2010