Provider Demographics
NPI:1598158263
Name:TOTAL HEALTH CHIROPRACTIC OF QUEENS
Entity Type:Organization
Organization Name:TOTAL HEALTH CHIROPRACTIC OF QUEENS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FREINDLICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-309-3564
Mailing Address - Street 1:19413 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-3032
Mailing Address - Country:US
Mailing Address - Phone:718-309-3564
Mailing Address - Fax:
Practice Address - Street 1:1410 BROADWAY RM 202
Practice Address - Street 2:202
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-9835
Practice Address - Country:US
Practice Address - Phone:212-354-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-05
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty