# NY CHIROPRACTIC WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124319496
- **Authorized official:** MATTHEW LEWIS (PRESIDENT)
- **Authorized official phone:** (718) 813-9299

## Contact information

- **Practice address:** 100 MANETTO HILL RD, SUITE 107, PLAINVIEW, NY 11803-1311
- **Practice address phone:** (516) 299-9313
- **Mailing address:** 32 CYPRESS DR, KINGS PARK, NY 11754-2303
- **Mailing address phone:** (718) 813-9299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | X010428 | NY | Yes |

## Other

- **Enumeration date:** 04/21/2011
- **Last updated:** 04/21/2011