Healthcare Provider Details

I. General information

NPI: 1497776520
Provider Name (Legal Business Name): PERFECT HEALTH CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 02/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2829 OCEAN PKWY BSMT
BROOKLYN NY
11235-7858
US

IV. Provider business mailing address

2829 OCEAN PKWY BSMT
BROOKLYN NY
11235-7858
US

V. Phone/Fax

Practice location:
  • Phone: 718-676-4112
  • Fax: 718-676-4134
Mailing address:
  • Phone: 718-676-4112
  • Fax: 718-676-4134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License NumberX010830-1
License Number StateNY

VIII. Authorized Official

Name: DR. IGOR ZILBERMAN
Title or Position: PRESIDENT
Credential: DC
Phone: 718-257-0900