Healthcare Provider Details
I. General information
NPI: 1659287902
Provider Name (Legal Business Name): JAMAICA CARE CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8106 BAXTER AVE APT 2C
ELMHURST NY
11373-1384
US
IV. Provider business mailing address
8106 BAXTER AVE
ELMHURST NY
11373-1385
US
V. Phone/Fax
- Phone: 718-710-1129
- Fax:
- Phone: 718-710-1129
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
HUGO
PACHECO
Title or Position: OWNER
Credential: DC
Phone: 718-710-1129