| New Balance Chiropractic PC | |
|
45 Park Cir Great Neck NY 11024-1828 | |
| (917) 821-1029 | |
| Not Available |
| Full Name | New Balance Chiropractic PC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 45 Park Cir, Great Neck, New York |
| Authorized Official Name and Position | Mehrzad Isaac Kohansieh (OWNER/PRESIDENT) |
| Authorized Official Contact | 9178211029 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Balance Chiropractic PC 45 Park Cir Great Neck NY 11024-1828 Ph: (917) 821-1029 | New Balance Chiropractic PC 45 Park Cir Great Neck NY 11024-1828 Ph: (917) 821-1029 |
| NPI Number | 1932016979 |
|---|---|
| Provider Enumeration Date | 08/25/2026 |
| Last Update Date | 08/25/2026 |
| Certification Date | 08/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932016979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
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