Healthcare Provider Details
I. General information
NPI: 1467087700
Provider Name (Legal Business Name): RHS CHIROPRACTIC, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2020
Last Update Date: 03/06/2020
Certification Date: 03/06/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15280 ROCKAWAY BLVD STE 101
JAMAICA NY
11434-2800
US
IV. Provider business mailing address
15280 ROCKAWAY BLVD STE 101
JAMAICA NY
11434-2800
US
V. Phone/Fax
- Phone: 718-464-1023
- Fax: 718-569-6464
- Phone: 718-464-1023
- Fax: 718-569-6464
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RICHARD
STERNBERG
Title or Position: OWNER
Credential: DC
Phone: 718-464-1023