Provider Demographics
NPI:1366925950
Name:COMMUNITY CHIROPRACTIC AND ACUPUNCTURE OF PARK SLOPE,PLLC
Entity type:Organization
Organization Name:COMMUNITY CHIROPRACTIC AND ACUPUNCTURE OF PARK SLOPE,PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:A
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-398-3100
Mailing Address - Street 1:182 8TH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-2280
Mailing Address - Country:US
Mailing Address - Phone:718-398-3100
Mailing Address - Fax:
Practice Address - Street 1:182 8TH AVE STE 1
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11215-2280
Practice Address - Country:US
Practice Address - Phone:718-398-3100
Practice Address - Fax:718-398-3783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Multi-Specialty