Provider Demographics
NPI:1225916489
Name:AZAR CHIROPRACTIC PC
Entity type:Organization
Organization Name:AZAR CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYNSHTEYN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-482-8184
Mailing Address - Street 1:40 OCEANA DR W APT 8B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-6669
Mailing Address - Country:US
Mailing Address - Phone:917-482-8184
Mailing Address - Fax:917-482-8184
Practice Address - Street 1:591 W MERRICK RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5119
Practice Address - Country:US
Practice Address - Phone:516-206-0100
Practice Address - Fax:516-206-0101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty