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NPI Code Detail

MEDICARE: TOTAL HEALTH CHIROPRACTIC CENTER

MEDICARE: TOTAL HEALTH CHIROPRACTIC CENTER
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
1111N00000XChiropractor010274NY

General Provider Information

NPI Number : 1710087739
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOTAL HEALTH CHIROPRACTIC CENTER
Provider Business Mailing Address
First Line : 5901 69TH ST
Second Line :
City : MASPETH
State : NY
Zip : 11378-2946
Country : US
Telephone Number : 718-426-1947
Fax Number : 718-639-5184
Provider Business Practice Location Address
First Line : 5901 69TH ST
Second Line :
City : MASPETH
State : NY
Zip : 11378-2946
Country : US
Telephone Number : 718-426-1947
Fax Number : 718-639-5184
Authorized Official
Title or Position : OWNER
Name : DR. BRIAN W FREINDLICH
Credential : DC
Telephone Number : 718-426-1947
Provider Enumeration Date : 09/22/2006
Last Update Date : 08/22/2020

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Directions to “TOTAL HEALTH CHIROPRACTIC CENTER ” Practice Location

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