Provider Demographics
NPI:1568616845
Name:HWANGBO, HYUNIK (DC)
Entity Type:Individual
Prefix:DR
First Name:HYUNIK
Middle Name:
Last Name:HWANGBO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 RIDGE RD
Mailing Address - Street 2:B
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3303
Mailing Address - Country:US
Mailing Address - Phone:914-885-0011
Mailing Address - Fax:203-325-3305
Practice Address - Street 1:150-15 41ST AVE.
Practice Address - Street 2:#3D
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354
Practice Address - Country:US
Practice Address - Phone:718-321-8522
Practice Address - Fax:718-321-8524
Is Sole Proprietor?:No
Enumeration Date:2008-11-12
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011383111N00000X
CT001699111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor