Provider Demographics
NPI:1871773929
Name:CHIROPRACTIC HEALTH PLUS DC, PC
Entity type:Organization
Organization Name:CHIROPRACTIC HEALTH PLUS DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOBODYANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-236-5806
Mailing Address - Street 1:601 SURF AVE
Mailing Address - Street 2:SUITE 23F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-3401
Mailing Address - Country:US
Mailing Address - Phone:347-236-5806
Mailing Address - Fax:
Practice Address - Street 1:265 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5939
Practice Address - Country:US
Practice Address - Phone:718-339-5151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2007-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty