Provider Demographics
NPI:1679642144
Name:CHIROPRATIC ASSOCIATES OF GARFIELD
Entity Type:Organization
Organization Name:CHIROPRATIC ASSOCIATES OF GARFIELD
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:MYKALCIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-772-2200
Mailing Address - Street 1:259 OUTWATER LN
Mailing Address - Street 2:
Mailing Address - City:GARFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07026-2619
Mailing Address - Country:US
Mailing Address - Phone:973-772-2200
Mailing Address - Fax:973-772-2220
Practice Address - Street 1:259 OUTWATER LN
Practice Address - Street 2:
Practice Address - City:GARFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07026-2619
Practice Address - Country:US
Practice Address - Phone:973-772-2200
Practice Address - Fax:973-772-2220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00651800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty