Provider Demographics
NPI:1568634194
Name:YI, KAREN CHANMI (DC)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:CHANMI
Last Name:YI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CHAN
Other - Middle Name:MI
Other - Last Name:YI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:67-11 164TH STREET
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11365
Mailing Address - Country:US
Mailing Address - Phone:718-762-4500
Mailing Address - Fax:
Practice Address - Street 1:67-11 164TH STREET
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11365
Practice Address - Country:US
Practice Address - Phone:718-762-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-24
Last Update Date:2009-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor