Organization
EAST NEW YORK CHIROPRACTIC,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE KU KIM DC (PRESIDENT)
(917) 373-0574
Entity
Organization
Contact information
Practice address
4161 KISSENA BLVD, LEVEL C. SUITE 35, FLUSHING, NY 11355
(718) 888-0300
Mailing address
4161 KISSENA BLVD, LEVEL C. SUITE 35, FLUSHING, NY 11355
(718) 888-0300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X-011451-1
NY
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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