| NPI | 1528596624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE CHUNG Owner 718-835-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NY 012520) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NY 012920) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |