Provider Demographics
NPI:1295190627
Name:APAK CHIROPRACTIC
Entity Type:Organization
Organization Name:APAK CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:MOSTOVOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-749-5308
Mailing Address - Street 1:21802 HEMPSTEAD AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1235
Mailing Address - Country:US
Mailing Address - Phone:718-749-5308
Mailing Address - Fax:
Practice Address - Street 1:218-02 HEMPSTEAD AVENUE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429
Practice Address - Country:US
Practice Address - Phone:718-749-5308
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-30
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010194111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty