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General NPI Number Information
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NPI Number | 1871729012
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Entity Type | Organization
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Legal Business Name | EDWARD J. GORECKI, DC, PLLC
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Dates
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Enumeration Date | 06/02/2009
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 37 W 20TH ST STE 607
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City | NEW YORK
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State | NY
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Zip | 10011-3718
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Country | US
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Telephone | 917-414-9113
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Fax |
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Provider Business Mailing Address
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Address Line | 37 W 20TH ST STE 607
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City | NEW YORK
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State | NY
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Zip | 10011-3718
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Country | US
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Telephone | 212-777-3301
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. EDWARD J GORECKI
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Credential | D.C.
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Telephone | 917-414-9113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X010272-1
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License Number State | NY
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