| Modern Chiropractic Pc | |
|
3062 Brighton 3rd St, Brooklyn, NY 11235-7409 | |
| (917) 817-9244 | |
| (718) 743-9680 |
| Full Name | Modern Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3062 Brighton 3rd St, Brooklyn, 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 |
|---|---|---|---|
| 1396750972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X009246 (New York) | Primary |
| Provider Name | Diana Vavikova |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1750579538 PECOS PAC ID: 6204874860 Enrollment ID: I20050422001045 |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Chiropractic Pc 3062 Brighton 3rd St, Brooklyn, NY 11235-7409 Ph: (917) 817-9244 | Modern Chiropractic Pc 3062 Brighton 3rd St, Brooklyn, NY 11235-7409 Ph: (917) 817-9244 |
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