# FOUR SEASONS CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1336675735
- **Authorized official:** DONG HWAN LEE DC (PRESIDENT)
- **Authorized official phone:** (917) 400-2602

## Contact information

- **Practice address:** 330 W 58TH ST, STE 510, NEW YORK, NY 10019-1827
- **Practice address phone:** (212) 245-2122
- **Mailing address:** 330 W 58TH ST, STE 510, NEW YORK, NY 10019-1827
- **Mailing address phone:** (212) 245-2122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 012358 | NY | Yes |

## Other

- **Enumeration date:** 05/04/2017
- **Last updated:** 05/04/2017