Provider Demographics
NPI:1649454729
Name:L.K. CHIROPRACTIC
Entity type:Organization
Organization Name:L.K. CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEV
Authorized Official - Middle Name:
Authorized Official - Last Name:KALIKA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:212-308-9595
Mailing Address - Street 1:207 E 57TH ST
Mailing Address - Street 2:APT 15A
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-2816
Mailing Address - Country:US
Mailing Address - Phone:212-308-9595
Mailing Address - Fax:212-308-9553
Practice Address - Street 1:207 E 57TH ST
Practice Address - Street 2:APT 15A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2816
Practice Address - Country:US
Practice Address - Phone:212-308-9595
Practice Address - Fax:212-308-9553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008862111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU69765Medicare UPIN
NYX3A361Medicare PIN