OrganizationBack And Body MedicalChiropractorChiropractic ProvidersPractice Address133 E 58th St, Suite 708, New York, NY 10022-1236(888) 491-4655(631) 521-6819PECOS EnrollmentBased on the most recent information from CMS, provider Back And Body Medical does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1982003943Provider TypeOrganizationFull NameBack And Body MedicalSubpartNoEnumeration Date8/15/2014Last Updated8/15/2014Contact InformationPractice LocationPractice Address133 E 58th St, Suite 708, New York, NY 10022-1236Phone(888) 491-4655FaxUnlisted FaxMailing LocationMailing Address376 Middle Rd, Bayport, NY 11705-1912Phone(631) 521-6819FaxUnlisted FaxAuthorized OfficialNamePerna, David (Doctor)Phone(888) 491-4655Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX012542-1New York