Provider Demographics
NPI:1538923859
Name:HEALING CHIROPRACTIC PC
Entity type:Organization
Organization Name:HEALING CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GADABORSHEV
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-519-6302
Mailing Address - Street 1:535 BERGEN BLVD
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07657-2820
Mailing Address - Country:US
Mailing Address - Phone:201-267-6697
Mailing Address - Fax:201-267-6696
Practice Address - Street 1:535 BERGEN BLVD
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07657-2820
Practice Address - Country:US
Practice Address - Phone:201-267-6697
Practice Address - Fax:201-267-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty