MEDICARE: DR. KURT HELLINGER DC

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	X006170	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C0-6170-7	OTHER	NY	WC AUTHORIZATION #

General Provider Information

NPI Number	:	1841377868
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURT HELLINGER DC

Provider Business Mailing Address
First Line	:	260 AINSLIE ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-4914
Country	:	US
Telephone Number	:	718-388-1600
Fax Number	:	718-388-1551

Provider Business Practice Location Address
First Line	:	308 GRAHAM AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11211-4904
Country	:	US
Telephone Number	:	718-218-7352
Fax Number	:	718-306-1566

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	07/08/2007

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