Icon Chripractic P.C in Staten Island - Chiropractor
Icon Chripractic P.C - NPI 1548304231
Icon Chripractic P.C is a Chiropractor in Staten Island, New York. Icon Chripractic P.C practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Icon Chripractic P.C is 1548304231. The last update date is 2020-08-22.
Icon Chripractic P.C's current location address is 4 Arkansas Ave, Staten Island, New York. You can contact this provider via phone number 9176481005. The mailing address for Icon Chripractic P.C is 4 Arkansas Ave, Staten Island, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Icon Chripractic P.C |
|---|---|
| Address | 4 Arkansas Ave, Staten Island, New York |
| Phone Number | 9176481005 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER |
|---|---|
| Authorized Official Name | Mazurovskiy Aleksandr |
| Credentials | DC |
| Telephone Number | 9176481005 |
NPI Number Detail
| NPI Number | 1548304231 |
|---|---|
| Provider Enumeration Date | 2007-02-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4 Arkansas Ave |
|---|---|
| City | Staten Island |
| State | New York (NY) |
| Post Code | 103081502 |
| Phone Number | 9176481005 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | X009550 |
|
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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What is the Icon Chripractic P.C's 1548304231?
The Icon Chripractic P.C's NPI (National Provider Identifier) Number is 1548304231. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Icon Chripractic P.C?
The Icon Chripractic P.C is physically situated at 4 Arkansas Ave, in the city of Staten Island, state of NY, with the postal code 103081502.
What is Icon Chripractic P.C's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Icon Chripractic P.C is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When was the Icon Chripractic P.C's 1548304231 issued?
The Icon Chripractic P.C's 1548304231 was issued on 2007-02-16.
As of what date was the information regarding Icon Chripractic P.C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Icon Chripractic P.C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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