Organization
SYLVAN CHIROPRACTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. INSUN PARK DC (PRESIDENT)
(201) 575-2783
Entity
Organization
Contact information
Practice address
140 SYLVAN AVE STE 301A, ENGLEWOOD CLIFFS, NJ 07632-2560
(201) 575-2783
Mailing address
100 WINSTON DR APT 6BN, CLIFFSIDE PARK, NJ 07010-3264
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558818385
NPI
NJ
Enumeration date
08/30/2018
Last updated
08/30/2018
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