Individual
DR. PHUOC LY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
122 BAY 14TH ST, BROOKLYN, NY 11214-4512
(212) 387-8762
Mailing address
122 BAY 14TH ST, BROOKLYN, NY 11214-4512
(212) 387-8762
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X009559
NY
Other
Enumeration date
08/18/2005
Last updated
11/27/2012
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