MEDICARE: ATLANT CHIROPRACTIC, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1376874453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANT CHIROPRACTIC, P.C.

Provider Business Mailing Address
First Line	:	59 E 54TH ST RM 62
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-9214
Country	:	US
Telephone Number	:	917-748-5279
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 E 54TH ST RM 62
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10022-9214
Country	:	US
Telephone Number	:	917-748-5279
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ALEKSANDER KANEVSKY
Credential	:	D.C.
Telephone Number	:	917-748-5279

Provider Enumeration Date	:	01/29/2010
Last Update Date	:	12/02/2025

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