Provider Demographics
NPI:1497823710
Name:ACCORD CHIROPRACTIC, P.C.
Entity Type:Organization
Organization Name:ACCORD CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEKSANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KANEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-748-5279
Mailing Address - Street 1:22 OVERHILL DR
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3542
Mailing Address - Country:US
Mailing Address - Phone:917-748-5279
Mailing Address - Fax:
Practice Address - Street 1:270 AVENUE P
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-4947
Practice Address - Country:US
Practice Address - Phone:718-375-9090
Practice Address - Fax:718-375-6618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009212111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty