# NEW YORK CORE CHIROPRACTIC P.C.

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

## Provider details

- **NPI number:** 1508311135
- **Authorized official:** IVAN LAM D.C. (OWNER)
- **Authorized official phone:** (718) 577-8933

## Contact information

- **Practice address:** 20935 NORTHERN BLVD STE 209A, BAYSIDE, NY 11361-3134
- **Practice address phone:** (718) 577-8933
- **Mailing address:** 20810 CROSS ISLAND PKWY \# 528, BAYSIDE, NY 11360-1187
- **Mailing address phone:** (718) 577-8933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X012540-1 | NY | Yes |

## Other

- **Enumeration date:** 08/24/2016
- **Last updated:** 06/15/2020