MEDICARE: B2H 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	X008298-1	NY

General Provider Information

NPI Number	:	1417357948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B2H CHIROPRACTIC,P.C.

Provider Business Mailing Address
First Line	:	5509 MERRICK RD
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-6215
Country	:	US
Telephone Number	:	516-541-8933
Fax Number	:

Provider Business Practice Location Address
First Line	:	5509 MERRICK RD
Second Line	:
City	:	MASSAPEQUA
State	:	NY
Zip	:	11758-6215
Country	:	US
Telephone Number	:	516-541-8933
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	JOHN J MILONE
Credential	:	D.C.
Telephone Number	:	516-852-3176

Provider Enumeration Date	:	09/03/2014
Last Update Date	:	09/03/2014

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