Liberty Park Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

C09423-2 Issued in NY

Legal business name

LIBERTY PARK CHIROPRACTIC, PC

Practice address

9316 Liberty Ave
Ozone Park, NY 11417-1528

Phone

(718) 764-6669

Fax

(718) 835-5505

NPI assigned

Apr 22, 2015

Organization subpart

No

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

Authorized official

Name

Joseph A Ciccone, DC

Title

Pres./Owner

Phone

(718) 764-6669

Specialties & licenses 1

Addresses

Tax ID family

Liberty Park Chiropractic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liberty Park Chiropractic, PC

  • Chiropractor
  • Ozone Park, NY
  • NPI 1811375660
  NPD tax ID

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1154718666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9316 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171528",
            "telephone_number": "718-764-6669",
            "fax_number": "718-835-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9316 LIBERTY AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114171528",
            "telephone_number": "718-764-6669",
            "fax_number": "718-835-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PARK CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "CICCONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES./OWNER",
        "authorized_official_telephone_number": "718-764-6669",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "C09423-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Qiana Lewis
• Yuliya Leydeker, PHARM D, BCMTMS
• Alice U Li, M.D.
• Jack Wing Kit Li, D.O.
• Anna Liang, PHARMD
• Liberty Park Chiropractic, PC
• Nertila Ligori
• Limb Kind Foundation Inc.
• Lindenwood Community Volunteer Ambulance Corps
• Little Neck Radiology, P.C.

• Chiropractor in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.