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Organization
SPINE CARE ONE CHIROPRACTIC
Active
Organization
SPINE CARE ONE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE CHUNG DC (CO-OWNER)
(551) 265-1694
Entity
Organization
Contact information
Practice address
9701 101ST AVE, OZONE PARK, NY 11416-2523
(718) 835-4199
Mailing address
2500 LEMOINE AVE STE 303, FORT LEE, NJ 07024-6205
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X012520
NY
111N00000X
Chiropractor
Primary
X012920
NY
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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