Provider Demographics
NPI:1770308322
Name:BKLYN CHIROPRACTIC PC
Entity type:Organization
Organization Name:BKLYN CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
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:914-450-8881
Mailing Address - Street 1:2 RIDGE RD APT 1
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-3317
Mailing Address - Country:US
Mailing Address - Phone:914-450-8881
Mailing Address - Fax:
Practice Address - Street 1:5314 7TH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220
Practice Address - Country:US
Practice Address - Phone:718-233-8866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-19
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty