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NPI Code Detail

MEDICARE: DIASPO CHIROPRACTIC & PHYSICAL THERAPY, PLLC

MEDICARE: DIASPO CHIROPRACTIC & PHYSICAL THERAPY, PLLC
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
1111N00000XChiropractor
2225100000XPhysical Therapist

General Provider Information

NPI Number : 1487826004
Entity Type Code : Organization
Provider Name (Legal Business Name) : DIASPO CHIROPRACTIC & PHYSICAL THERAPY, PLLC
Provider Business Mailing Address
First Line : 20817 JAMAICA AVE
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11428-1546
Country : US
Telephone Number : 718-465-4500
Fax Number : 718-479-6754
Provider Business Practice Location Address
First Line : 20817 JAMAICA AVE
Second Line :
City : QUEENS VILLAGE
State : NY
Zip : 11428-1546
Country : US
Telephone Number : 718-465-4500
Fax Number : 718-479-6754
Authorized Official
Title or Position : MEMBER
Name : DR. STEVEN ROSENZWEIG
Credential : DC
Telephone Number : 718-894-2323
Provider Enumeration Date : 03/25/2008
Last Update Date : 03/25/2008

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Directions to “DIASPO CHIROPRACTIC & PHYSICAL THERAPY, PLLC ” Practice Location

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