Miller Place Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X010078 Issued in NY

Legal business name

MILLER PLACE CHIROPRACTIC PC

Practice address

6860 Austin Strteet
Ste 202
Forest Hills, NY 11375

Phone

(718) 896-0999

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Elain Ebbrecht, DC

Title

President

Phone

(212) 686-6700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1447486378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN STRTEET",
            "address_2": "STE202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-896-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 AUSTIN STRTEET",
            "address_2": "STE 202",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-896-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLER PLACE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "EBBRECHT",
        "authorized_official_first_name": "ELAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-686-6700",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "X010078",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adrienn Miklos, LCSW
• Mariusz Mikulec, L.AC.
• Jermaine Miles
• Rhonda Milisis, M.S., ED.
• Cynthia Millan
• Grace Mary Miller, FNP
• Lara Miller, LCSW
• Tayika Miller
• Thomas Aaron Miller
• Pershemia S Milliard

• Chiropractor in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.