Provider Demographics
NPI:1346568516
Name:BAY RIDGE CHIROPRACTIC HEALTHCARE PC
Entity Type:Organization
Organization Name:BAY RIDGE CHIROPRACTIC HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAREY
Authorized Official - Middle Name:H
Authorized Official - Last Name:SKORSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-745-8331
Mailing Address - Street 1:140 87TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-4916
Mailing Address - Country:US
Mailing Address - Phone:718-745-8331
Mailing Address - Fax:718-745-8395
Practice Address - Street 1:140 87TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-4916
Practice Address - Country:US
Practice Address - Phone:718-745-8331
Practice Address - Fax:718-745-8395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008188261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain