Organization
NY DISC CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANGWOO MAH DC (OWNER)
(917) 626-3037
Entity
Organization
Contact information
Practice address
15419 NORTHERN BLVD # 2F-5, FLUSHING, NY 11354-5029
(718) 746-4919
(718) 746-4920
Mailing address
15419 NORTHERN BLVD # 2F-5, FLUSHING, NY 11354-5029
(718) 746-4919
(718) 746-4920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9835
NYS OFFICE OF PROFESSIONS
NY
Enumeration date
04/18/2022
Last updated
04/19/2022
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