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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GENESIS CHIROPRACTIC PAIN MANAGEMENT P.C.

Deactivated Organization

GENESIS CHIROPRACTIC PAIN MANAGEMENT P.C. is a Chiropractor organization located in LONG BEACH, New York. NPI 1629360805 is deactivated in the NPPES registry. Verify at CMS.

Chiropractor · LONG BEACH, NY

This NPI has been deactivated. The record was deactivated on September 20, 2012. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1629360805
Provider Type
Organization
NPI Issued
May 6, 2011 (1.3753424657534 yrs)
Last Updated
Dec 19, 2012
Deactivated
Sep 20, 2012
License
X011936 (NY)

Practice Information

Address
164 EAST PENN STREET
LONG BEACH, NY, 11561
Browse NY providers · Browse ZIP 11561
Phone
6465812541
Fax
7183011804
Primary Specialty
Chiropractor
111N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.