Healthcare Provider Details

I. General information

NPI: 1548547862
Provider Name (Legal Business Name): NORRIS CHIROPRACTIC P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2011
Last Update Date: 11/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 WILLIS AVE
WILLISTON PARK NY
11596-2225
US

IV. Provider business mailing address

20720 27TH AVE
BAYSIDE NY
11360-2403
US

V. Phone/Fax

Practice location:
  • Phone: 516-742-2442
  • Fax: 516-742-6807
Mailing address:
  • Phone: 347-581-2350
  • Fax: 516-742-6807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JOYCE MARIE NORRIS
Title or Position: PRESIDENT
Credential: D.C.
Phone: 347-581-2350