Doctor Name: | MRS. OLGA GAZONAS |
NPI Number: | 1154694156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | X003788-1 |
Business Practice Address: | 2818 31st St 2nd Floor Astoria, NY - 111021760 |
Business Phone Number: | 7189566565 |
Business Fax Number: | 7189565890 |
Mailing Address: | 2818 31st St, 2nd Floor ASTORIA |
State: | NY |
Postal Code: | 111021760 |
Phone Number: | 7189566565 |
Fax Number: | 7189565890 |
NPI Enumeration Date: | 02/22/2012 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X003788-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |