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Organization
NEW YORK CHIROPRACTIC HEALTH PERFORMANCE, P.C.
Active
Organization
NEW YORK CHIROPRACTIC HEALTH PERFORMANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE INNES D.C. (OWNER)
(845) 721-4358
Entity
Organization
Contact information
Practice address
54 MILLER RD STE 4, MAHOPAC, NY 10541-2223
(845) 621-1739
(845) 621-2318
Mailing address
54 MILLER RD STE 4, MAHOPAC, NY 10541-2223
(845) 621-1739
(845) 621-2318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012311-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992044226
NPPES NPI
NY
Enumeration date
12/08/2014
Last updated
10/16/2019
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