Provider Demographics
NPI:1962819995
Name:CHIROPRACTIC NEUROFEDBACK ASOCIATES OF NEWYORK
Entity Type:Organization
Organization Name:CHIROPRACTIC NEUROFEDBACK ASOCIATES OF NEWYORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSELL
Authorized Official - Middle Name:MATHEW
Authorized Official - Last Name:LAMBOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC,BCN
Authorized Official - Phone:718-721-4100
Mailing Address - Street 1:3804 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-3800
Mailing Address - Country:US
Mailing Address - Phone:718-721-4100
Mailing Address - Fax:
Practice Address - Street 1:3804 31ST AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-3800
Practice Address - Country:US
Practice Address - Phone:718-721-4100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty