Healthcare Provider Details

I. General information

NPI: 1871428995
Provider Name (Legal Business Name): COMPLETE CHIROPRACTIC WELLNESS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 ROUTE 202
SOMERS NY
10589-3246
US

IV. Provider business mailing address

25 MCFADDEN CIR
YONKERS NY
10701-6662
US

V. Phone/Fax

Practice location:
  • Phone: 914-248-5122
  • Fax:
Mailing address:
  • Phone: 646-228-4935
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE AGYAKWAH
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 646-228-4935