Provider Demographics
NPI:1659906477
Name:HEALTHY SPINE CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:HEALTHY SPINE CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRONOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-809-7610
Mailing Address - Street 1:1400 WANTAGH AVE STE 209
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-2210
Mailing Address - Country:US
Mailing Address - Phone:516-809-7610
Mailing Address - Fax:516-809-7611
Practice Address - Street 1:1400 WANTAGH AVE STE 209
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2210
Practice Address - Country:US
Practice Address - Phone:516-809-7610
Practice Address - Fax:516-809-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-12
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty