Provider Demographics
NPI:1962791988
Name:FAISAL MASOOD CHIROPRACTIC REHAB P.C
Entity type:Organization
Organization Name:FAISAL MASOOD CHIROPRACTIC REHAB P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:FAISAL
Authorized Official - Middle Name:
Authorized Official - Last Name:MASOOD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-336-6313
Mailing Address - Street 1:17860 WEXFORD TER
Mailing Address - Street 2:SUITE # 5E
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-3051
Mailing Address - Country:US
Mailing Address - Phone:347-336-6313
Mailing Address - Fax:347-561-7283
Practice Address - Street 1:20611 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11427-1709
Practice Address - Country:US
Practice Address - Phone:347-336-6313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-30
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty