# NEW YORK CHIROPRACTIC HEALTH PERFORMANCE, P.C.

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

## Provider details

- **NPI number:** 1295133247
- **Authorized official:** DR. KYLE INNES D.C. (OWNER)
- **Authorized official phone:** (845) 721-4358

## Contact information

- **Practice address:** 54 MILLER RD STE 4, MAHOPAC, NY 10541-2223
- **Practice address phone:** (845) 621-1739
- **Practice address fax:** (845) 621-2318
- **Mailing address:** 54 MILLER RD STE 4, MAHOPAC, NY 10541-2223
- **Mailing address phone:** (845) 621-1739
- **Mailing address fax:** (845) 621-2318

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X012311-1 | NY | Yes |

## Other

- **Enumeration date:** 12/08/2014
- **Last updated:** 10/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1992044226 | NPPES NPI | NY |