Healthcare Provider Details

I. General information

NPI: 1083536007
Provider Name (Legal Business Name): FAISAL CHIROPRACTIC DIAGNOSTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 MIDLAND PKWY STE LC
JAMAICA NY
11432-4715
US

IV. Provider business mailing address

8701 MIDLAND PKWY STE LC
JAMAICA NY
11432-4715
US

V. Phone/Fax

Practice location:
  • Phone: 646-849-5562
  • Fax:
Mailing address:
  • Phone: 646-849-5562
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: FAISAL MASOOD
Title or Position: PRESIDENT
Credential: D.C
Phone: 347-659-6559