MEDICARE: DR. ALEX KHAIT DC, BS

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	111NR0400X	Rehabilitation Chiropractor	X010266	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760566848
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEX KHAIT DC, BS

Provider Business Mailing Address
First Line	:	2343 E 66TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-6325
Country	:	US
Telephone Number	:	917-676-7770
Fax Number	:

Provider Business Practice Location Address
First Line	:	8 CLINTON PL
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10453-1707
Country	:	US
Telephone Number	:	917-676-7770
Fax Number	:	718-690-3580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	12/21/2012

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