# FIDI WELLNESS CHIROPRACTIC P.C.

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

## Provider details

- **NPI number:** 1952212961
- **Authorized official:** JAESUNG PARK DC (PRESIDENT)
- **Authorized official phone:** (475) 988-7695

## Contact information

- **Practice address:** 42 BROADWAY STE 1219, NEW YORK, NY 10004-3834
- **Practice address phone:** (929) 412-2654
- **Mailing address:** 42 BROADWAY STE 1219, NEW YORK, NY 10004-3834
- **Mailing address phone:** (929) 412-2654

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2026
- **Last updated:** 09/16/2026