MEDICARE: INFINITY CHIROPRACTIC HEALTH PC

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	:	1730355652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INFINITY CHIROPRACTIC HEALTH PC

Provider Business Mailing Address
First Line	:	2100 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4314
Country	:	US
Telephone Number	:	718-677-3700
Fax Number	:	718-677-1314

Provider Business Practice Location Address
First Line	:	2100 FLATBUSH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-4314
Country	:	US
Telephone Number	:	718-677-3700
Fax Number	:	718-677-1314

Authorized Official
Title or Position	:	OWNER
Name	:	JAE KU KIM
Credential	:	DC
Telephone Number	:	718-677-3700

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	04/30/2008

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