Provider Demographics
NPI:1255840591
Name:CHIROPRACTIC OF NEW YORK,P.C.
Entity Type:Organization
Organization Name:CHIROPRACTIC OF NEW YORK,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HONG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-512-6224
Mailing Address - Street 1:45 BRAMBLEBROOK RD
Mailing Address - Street 2:
Mailing Address - City:ARDSLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10502-2241
Mailing Address - Country:US
Mailing Address - Phone:914-512-6224
Mailing Address - Fax:
Practice Address - Street 1:785 WHITE PLAINS RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-5010
Practice Address - Country:US
Practice Address - Phone:914-874-5269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-28
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty