Provider Demographics
NPI:1699180877
Name:NEXT STEP CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:NEXT STEP CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PANAGIOTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:KANTZILIERIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-857-5279
Mailing Address - Street 1:237 W MIDLAND AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-1830
Mailing Address - Country:US
Mailing Address - Phone:201-857-5279
Mailing Address - Fax:201-857-5281
Practice Address - Street 1:237 W MIDLAND AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-1830
Practice Address - Country:US
Practice Address - Phone:201-857-5279
Practice Address - Fax:201-857-5281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-25
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00714300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty