Back To Life is a Chiropractor in Long Beach, New York. Back To Life practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back To Life is 1821000597. The last update date is 2020-08-22.
Back To Life's current location address is 75 E Broadway, Long Beach, New York. You can contact this provider via phone number 5163434926. The mailing address for Back To Life is 75 E Broadway, Long Beach, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back To Life |
|---|---|
| Address | 75 E Broadway, Long Beach, New York |
| Phone Number | 5163434926 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING D |
|---|---|
| Authorized Official Name | Russell Allan Murray |
| Credentials | D.C. |
| Telephone Number | 5163434926 |
NPI Number Detail
| NPI Number | 1821000597 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 75 E Broadway |
|---|---|
| City | Long Beach |
| State | New York (NY) |
| Post Code | 115614129 |
| Phone Number | 5163434926 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | X011035-1 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the Back To Life's unique identification number?
The Back To Life has been assigned the NPI (National Provider Identifier) Number 1821000597 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Back To Life is located?
The Back To Life is situated at the following address: 75 E Broadway, Long Beach, NY, 115614129.
What is the Back To Life's specialty and taxonomy code?
The Back To Life's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821000597 to Back To Life?
The Centers for Medicare & Medicaid Services assigned the 1821000597 to Back To Life on 2006-08-12.
When was the Back To Life's information last updated?
The Back To Life's information was last updated on 2020-08-22.