Organization
NY CHIROPRACTIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LEWIS (PRESIDENT)
(718) 813-9299
Entity
Organization
Contact information
Practice address
100 MANETTO HILL RD, SUITE 107, PLAINVIEW, NY 11803-1311
(516) 299-9313
Mailing address
32 CYPRESS DR, KINGS PARK, NY 11754-2303
(718) 813-9299
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
X010428
NY
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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