Bleu Health Sports Chiropractic P C

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

License

X012187-1 Issued in NY

Legal business name

BLEU HEALTH SPORTS CHIROPRACTIC P C

Practice address

850 7TH Ave
Suite 302
New York, NY 10019-5230

Phone

(516) 813-7099

NPI assigned

Jul 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Andrew J Park, DC

Title

Owner

Phone

(516) 813-7099

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1235494840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 7TH AVE",
            "address_2": "SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195230",
            "telephone_number": "516-813-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 7TH AVE",
            "address_2": "SUITE 302",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195230",
            "telephone_number": "516-813-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLEU HEALTH SPORTS CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-10",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-813-7099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "NY",
            "license": "X012187-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Bleich, LCSW
• Sarah Bleicher
• Ashley Bleser
• Marcelle E Blessing, MD
• Jewel Bletcher, LPN
• Derek Martin Blevins, M.D.
• Jason Blevins, MD
• Kaitlin Blevins, LCSW
• Lindsay Anne Blevins, PH.D.
• Jenna Blewis, PSY.D.

• Nutrition Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Nutrition Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; 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.