New York Core Chiropractic P.c. | |
20935 Northern Blvd Ste 209a, Bayside, NY 11361-3134 | |
(718) 577-8933 | |
Not Available |
Full Name | New York Core Chiropractic P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 20935 Northern Blvd Ste 209a, Bayside, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1508311135 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | X012540-1 (New York) | Primary |
Provider Name | Ivan Lam |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1366859761 PECOS PAC ID: 2567763329 Enrollment ID: I20151221000829 |
Mailing Address | Practice Location Address |
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New York Core Chiropractic P.c. 20810 Cross Island Pkwy # 528, Bayside, NY 11360-1187 Ph: (718) 577-8933 | New York Core Chiropractic P.c. 20935 Northern Blvd Ste 209a, Bayside, NY 11361-3134 Ph: (718) 577-8933 |
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