# BEWELL CHIROPRACTIC, PC

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

## Provider details

- **NPI number:** 1427135631
- **Authorized official:** DR. YELENA POLYAKOVA D.C. (PRESIDENT)
- **Authorized official phone:** (914) 242-3411

## Contact information

- **Practice address:** 344 E MAIN ST, STE 204, MOUNT KISCO, NY 10549-3027
- **Practice address phone:** (914) 242-3411
- **Practice address fax:** (914) 242-0985
- **Mailing address:** 243 CANTERBURY RD, WHITE PLAINS, NY 10607-1028

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009791 | NY | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 12/04/2007
