East Park Chiropractic and NP in Acute Care PLLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EAST PARK CHIROPRACTIC AND NP IN ACUTE CARE PLLC

Practice address

714 E Park Ave
Long Beach, NY 11561-2605

Phone

(516) 431-7972

NPI assigned

Jun 17, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles Drake, DC

Title

Owner

Phone

(516) 523-9145

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1013750181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 E PARK AVE",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612605",
            "telephone_number": "516-431-7972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST PARK CHIROPRACTIC AND NP IN ACUTE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-523-9145",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen S Dwyer, LMFT
• Amanda Dyba
• Early Interverntion
• East Park Chiropractic
• East Park Chiropractic
• East Park Chiropractic Wellness PC
• Natalie Ebitz
• Lisa Eblen
• Jaclyn Eiger, CCC-SLP
• Amy L Eisenberg

• Multi-Specialty Clinic/Center in Long Beach, NY
• Providers in Long Beach, NY by specialty
• Multi-Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.