Icon Chripractic P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X009550 Issued in NY

Legal business name

ICON CHRIPRACTIC P.C

Practice address

1840 E 14TH St
Brooklyn, NY 11229-2800

Phone

(718) 758-5558

NPI assigned

Feb 16, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aleksandr Mazurovskiy, DC

Title

Officer

Phone

(917) 648-1005

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Mazurovsky, D.C., APRN

  • Family Nurse Practitioner
  • Coral Springs, FL
  • NPI 1578572046

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548304231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ARKANSAS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103081502",
            "telephone_number": "917-648-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 E 14TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112292800",
            "telephone_number": "718-758-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICON CHRIPRACTIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAZUROVSKIY",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "917-648-1005",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Icl Medicaid Service Coordination (MSC)
• Icl Pacific Street
• Icl Rugby Road
• Icl Treatment Apartment Program
• Icl, Inc.
• Icon Health Group Corporation (American Adult Daycare)
• Icy Pharmacy Inc
• Id Strides Inc
• Ida Medical Plaza PC
• Joseph Richard Ida, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.