Organization
NEW YORK CHIROPRACTIC HEALTH PERFORMANCE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYLE INNES D.C. (OWNER)
(845) 721-4358
Entity
Organization
Contact information
Practice address
54 MILLER RD STE 4, MAHOPAC, NY 10541-2223
(845) 621-1739
(845) 621-2318
Mailing address
54 MILLER RD STE 4, MAHOPAC, NY 10541-2223
(845) 621-1739
(845) 621-2318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012311-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992044226
NPPES NPI
NY
Enumeration date
12/08/2014
Last updated
10/16/2019
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