| Edward J. Gorecki, Dc, Pllc | |
|
853 Broadway, Suite 1601, New York, NY 10003-4703 | |
| (917) 414-9113 | |
| Not Available |
| Full Name | Edward J. Gorecki, Dc, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 853 Broadway, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871729012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X010272-1 (New York) | Primary |
| Provider Name | Edward J Gorecki |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1437300670 PECOS PAC ID: 0648331751 Enrollment ID: I20090402000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J. Gorecki, Dc, Pllc 853 Broadway Ste 1601, New York, NY 10003-4714 Ph: () - | Edward J. Gorecki, Dc, Pllc 853 Broadway, Suite 1601, New York, NY 10003-4703 Ph: (917) 414-9113 |
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