MEDICARE: THH CHIROPRACTIC, 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
1	111N00000X	Chiropractor	010806	NY

General Provider Information

NPI Number	:	1659583284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THH CHIROPRACTIC, PLLC

Provider Business Mailing Address
First Line	:	1015 W BEECH ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-1203
Country	:	US
Telephone Number	:	516-889-6900
Fax Number	:	516-897-5833

Provider Business Practice Location Address
First Line	:	1015 W BEECH ST
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-1203
Country	:	US
Telephone Number	:	516-889-6900
Fax Number	:	516-897-5833

Authorized Official
Title or Position	:	OWNER MEMBER
Name	:	DR. TODD H HOROWITZ
Credential	:	D.C.
Telephone Number	:	516-398-8979

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	06/10/2010

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