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Organization

LIVING WELL NEW YORK MEDICAL P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAN THOMAS (BILLING MANAGER)
(212) 645-8151
Entity
Organization

Contact information

Practice address
632 BROADWAY, STE. 303, NEW YORK, NY 10012-2614
(212) 645-8151
(212) 777-1653
Mailing address
632 BROADWAY, STE. 303, NEW YORK, NY 10012-2614
(212) 645-8151
(212) 777-1653

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary

Other

Enumeration date
02/12/2015
Last updated
02/12/2015
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