Provider Demographics
NPI:1134514409
Name:ANAND CHIROPRACTIC
Entity Type:Organization
Organization Name:ANAND CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GURVANSH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-277-1258
Mailing Address - Street 1:10 CEDAR SWAMP RD
Mailing Address - Street 2:SUITE #10
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-3700
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10 CEDAR SWAMP RD
Practice Address - Street 2:SUITE #10
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-3700
Practice Address - Country:US
Practice Address - Phone:516-277-1258
Practice Address - Fax:516-277-1259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty