Provider Demographics
NPI:1710111869
Name:FLUSHING CHIROPRACTIC P.C.
Entity Type:Organization
Organization Name:FLUSHING CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HYUNIK
Authorized Official - Middle Name:
Authorized Official - Last Name:HWANGBO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-321-8522
Mailing Address - Street 1:150-15 41ST AVE
Mailing Address - Street 2:#2, #3 FLOOR
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4946
Mailing Address - Country:US
Mailing Address - Phone:718-321-8522
Mailing Address - Fax:718-321-8524
Practice Address - Street 1:150-15 41ST AVE
Practice Address - Street 2:#2, #3 FLOOR
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4946
Practice Address - Country:US
Practice Address - Phone:718-321-8522
Practice Address - Fax:718-321-8524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-05
Last Update Date:2009-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011383-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG300000062Medicare PIN