Organization
NEW YORK CORE CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN LAM D.C. (OWNER)
(718) 577-8933
Entity
Organization
Contact information
Practice address
20935 NORTHERN BLVD STE 209A, BAYSIDE, NY 11361-3134
(718) 577-8933
Mailing address
20810 CROSS ISLAND PKWY # 528, BAYSIDE, NY 11360-1187
(718) 577-8933
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012540-1
NY
Other
Enumeration date
08/24/2016
Last updated
06/15/2020
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