Organization
BEWELL CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YELENA POLYAKOVA D.C. (PRESIDENT)
(914) 242-3411
Entity
Organization
Contact information
Practice address
344 E MAIN ST, STE 204, MOUNT KISCO, NY 10549-3027
(914) 242-3411
(914) 242-0985
Mailing address
243 CANTERBURY RD, WHITE PLAINS, NY 10607-1028
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009791
NY
Other
Enumeration date
11/01/2006
Last updated
12/04/2007
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