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General NPI Number Information
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NPI Number | 1194585448
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Entity Type | Individual
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Provider Name | DR. SANG WON YI
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Gender | Male
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 04/06/2025
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Provider Practice Location Address
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Address Line | 38 W 32ND ST STE 1612
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City | NEW YORK
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State | NY
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Zip | 10001-3874
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Country | US
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Telephone | 929-470-4993
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Fax | 929-415-9189
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Provider Business Mailing Address
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Address Line | 38 W 32ND ST STE 1612
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City | NEW YORK
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State | NY
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Zip | 10001-3874
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Country | US
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Telephone | 718-497-9760
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN0400X
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Taxonomy Name | Neurology Chiropractor
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License Number | X013825
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 013825
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License Number State | NY
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