Provider Demographics
NPI:1598999526
Name:WEST END CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:WEST END CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-332-1166
Mailing Address - Street 1:60 W END AVE
Mailing Address - Street 2:FLOOR 6
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-4813
Mailing Address - Country:US
Mailing Address - Phone:718-332-1166
Mailing Address - Fax:718-332-1186
Practice Address - Street 1:60 W END AVE
Practice Address - Street 2:FLOOR 6
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-4813
Practice Address - Country:US
Practice Address - Phone:718-332-1166
Practice Address - Fax:718-332-1186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011585111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty