Healthcare Provider Details

I. General information

NPI: 1811760259
Provider Name (Legal Business Name): REBOUND CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2625 E 14TH ST STE 209
BROOKLYN NY
11235-3973
US

IV. Provider business mailing address

2625 E 14TH ST STE 209
BROOKLYN NY
11235-3973
US

V. Phone/Fax

Practice location:
  • Phone: 347-395-1717
  • Fax:
Mailing address:
  • Phone: 347-395-1717
  • Fax: 347-429-7721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. BRIAN MIKHAYLOFF
Title or Position: OWNER
Credential: D.C.
Phone: 917-957-0397