Provider Demographics
NPI:1871162032
Name:EASTERN HEALTHCARE CHIROPRACTIC AND ACUPUNCTURE SERVICES PLLC
Entity type:Organization
Organization Name:EASTERN HEALTHCARE CHIROPRACTIC AND ACUPUNCTURE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GERARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FUSARO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-288-2823
Mailing Address - Street 1:48 LEONARD DR
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-7920
Mailing Address - Country:US
Mailing Address - Phone:516-410-3640
Mailing Address - Fax:212-208-4648
Practice Address - Street 1:230 E 48TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1509
Practice Address - Country:US
Practice Address - Phone:212-288-2823
Practice Address - Fax:212-208-4648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2025-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty