Provider Demographics
NPI:1710087739
Name:TOTAL HEALTH CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:TOTAL HEALTH CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:FREINDLICH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-426-1947
Mailing Address - Street 1:5901 69TH ST
Mailing Address - Street 2:
Mailing Address - City:MASPETH
Mailing Address - State:NY
Mailing Address - Zip Code:11378-2946
Mailing Address - Country:US
Mailing Address - Phone:718-426-1947
Mailing Address - Fax:718-639-5184
Practice Address - Street 1:5901 69TH ST
Practice Address - Street 2:
Practice Address - City:MASPETH
Practice Address - State:NY
Practice Address - Zip Code:11378-2946
Practice Address - Country:US
Practice Address - Phone:718-426-1947
Practice Address - Fax:718-639-5184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010274111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty