Dr. Michael B Khodorkovsky, DC
Chiropractor in Fort Lee, New Jersey
1487430278- Practice location
- 100 Old Palisade RD Apt 3711, Fort Lee, NJ 07024-7028
- Phone
- 347-831-7984
- Fax
- —
- Last updated
- September 6, 2023
Michael Bryan Khodorkovsky is a Chiropractor based in Fort Lee, NJ. Michael Bryan Khodorkovsky practices in Fort Lee, NJ and has the professional credentials of DC. The NPI Number for Michael Bryan Khodorkovsky is 1487430278 and holds a License No. 38MC00800100 (NJ). The current practice location address for Michael Bryan Khodorkovsky is 100 Old Palisade RD Apt 3711, Fort Lee, NJ 07024-7028 and can be reached out via phone at 347-831-7984.
Provider Profile Details
- NPI Number
- 1487430278
- Provider Name
- Michael Bryan Khodorkovsky
- Credential
- DC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 100 Old Palisade RD Apt 3711, Fort Lee, NJ 07024-7028
- Phone Number
- 347-831-7984
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 6, 2023
- Last Update Date
- September 6, 2023
- Certification Date
- September 6, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 Old Palisade RD Apt 3711
Fort Lee, NJ 07024-7028 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-7028
- Phone Number
- 347-831-7984
Provider Business Mailing Address Details
- Address
- 100 Old Palisade RD Apt 3711
Fort Lee, NJ 07024-7028 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-7028
- Phone Number
- 347-831-7984
License Information
- License Number (1)
- 38MC00800100
- License State (1)
- NJ
- Taxonomy (1)
- Chiropractor · 111N00000X
- License Number (2)
- 013757
- License State (2)
- NY
- Taxonomy (2)
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Michael B Khodorkovsky, DC?
The NPI number of Dr. Michael B Khodorkovsky, DC is 1487430278. It was assigned on September 6, 2023 and is currently active in the NPPES registry.
What is the specialty of Dr. Michael B Khodorkovsky, DC?
Dr. Michael B Khodorkovsky, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00800100.
Where does Dr. Michael B Khodorkovsky, DC practice?
The practice location is 100 Old Palisade RD Apt 3711, Fort Lee, NJ 07024-7028. The office can be reached at 347-831-7984 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487430278 directly on the NPPES registry website.