Provider Demographics
NPI:1639526205
Name:EAST HILLS CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:EAST HILLS CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:S
Authorized Official - Last Name:BRATTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-626-1305
Mailing Address - Street 1:118 CRESCENT LN
Mailing Address - Street 2:
Mailing Address - City:ROSLYN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11577-1552
Mailing Address - Country:US
Mailing Address - Phone:516-626-1305
Mailing Address - Fax:718-628-5300
Practice Address - Street 1:118 CRESCENT LN
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-1552
Practice Address - Country:US
Practice Address - Phone:516-626-1305
Practice Address - Fax:718-628-5300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty