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General NPI Number Information
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NPI Number | 1023820818
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Entity Type | Organization
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Legal Business Name | YYC CHIROPRACTIC PC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 55 W 39TH ST RM 303
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City | NEW YORK
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State | NY
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Zip | 10018-0567
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Country | US
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Telephone | 929-419-4643
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Fax | 347-812-0086
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Provider Business Mailing Address
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Address Line | 2244 JACKSON AVE APT 1615
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-9428
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Country | US
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Telephone | 929-419-4643
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Fax | 347-812-0086
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Authorized Official
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Title or Position | OWNER
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Name | YASMIN COSEY
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Credential | DC
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Telephone | 225-610-5221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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