Provider Demographics
NPI:1417134958
Name:CHIROPRACTIC OF BROOKLYN HEIGHTS, LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC OF BROOKLYN HEIGHTS, LLC
Other - Org Name:MARC KAPLAN, DC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-624-5517
Mailing Address - Street 1:142 JORALEMON ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4709
Mailing Address - Country:US
Mailing Address - Phone:718-624-5517
Mailing Address - Fax:718-624-7517
Practice Address - Street 1:142 JORALEMON ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4709
Practice Address - Country:US
Practice Address - Phone:718-624-5517
Practice Address - Fax:718-624-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0026561111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT52159Medicare UPIN
NYX15121Medicare PIN