Ny Disc Chiropractic, Pc | |
15419 Northern Blvd # 2f-5, Flushing, NY 11354-5029 | |
(718) 746-4919 | |
(718) 746-4920 |
Full Name | Ny Disc Chiropractic, Pc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 15419 Northern Blvd # 2f-5, Flushing, 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 |
---|---|---|---|
1245973270 | NPI | - | NPPES |
9835 | Other | NY | NYS OFFICE OF PROFESSIONS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Sangwoo Mah |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1184688574 PECOS PAC ID: 4981683125 Enrollment ID: I20040804000256 |
Mailing Address | Practice Location Address |
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Ny Disc Chiropractic, Pc 15419 Northern Blvd # 2f-5, Flushing, NY 11354-5029 Ph: (718) 746-4919 | Ny Disc Chiropractic, Pc 15419 Northern Blvd # 2f-5, Flushing, NY 11354-5029 Ph: (718) 746-4919 |
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