Provider Demographics
NPI:1659583284
Name:THH CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:THH CHIROPRACTIC, PLLC
Other - Org Name:HOROWITZ CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOROWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-398-8979
Mailing Address - Street 1:1015 W BEECH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-1203
Mailing Address - Country:US
Mailing Address - Phone:516-889-6900
Mailing Address - Fax:516-897-5833
Practice Address - Street 1:1015 W BEECH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-1203
Practice Address - Country:US
Practice Address - Phone:516-889-6900
Practice Address - Fax:516-897-5833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010806111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV01145Medicare UPIN
NYXFWPU1Medicare PIN
NYX7K631Medicare ID - Type Unspecified