Provider Demographics
NPI:1932645785
Name:SYNERGY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:SYNERGY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:BABITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-449-7270
Mailing Address - Street 1:PO BOX 7007
Mailing Address - Street 2:
Mailing Address - City:WANTAGH
Mailing Address - State:NY
Mailing Address - Zip Code:11793-0607
Mailing Address - Country:US
Mailing Address - Phone:347-449-7270
Mailing Address - Fax:347-449-7269
Practice Address - Street 1:3601 FIELDSTON RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2003
Practice Address - Country:US
Practice Address - Phone:347-449-7270
Practice Address - Fax:347-449-7269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-17
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009882111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty