Serge Chiropractic Services PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011086 Issued in NY

Legal business name

SERGE CHIROPRACTIC SERVICES PC

Practice address

17 W End Ave
Brooklyn, NY 11235-4100

Phone

(718) 484-8199

Fax

(718) 484-8197

NPI assigned

Jul 3, 2014

Organization subpart

No

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

Authorized official

Name

Galina Groysman, DC

Title

President

Phone

(917) 553-3139

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404345600000",
    "number": "1063828606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 MARINE WAY",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103065758",
            "telephone_number": "917-553-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W END AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112354100",
            "telephone_number": "718-484-8199",
            "fax_number": "718-484-8197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGE CHIROPRACTIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-03",
        "last_updated": "2014-07-03",
        "status": "A",
        "authorized_official_last_name": "GROYSMAN",
        "authorized_official_first_name": "GALINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-553-3139",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.