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General NPI Number Information
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NPI Number | 1760381289
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Entity Type | Organization
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Legal Business Name | NY REHABILITATION CHIROPRACTIC P.C.
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 308 5TH AVE STE 5A
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City | NEW YORK
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State | NY
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Zip | 10001-3613
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Country | US
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Telephone | 347-401-3886
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Fax |
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Provider Business Mailing Address
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Address Line | 440 BOGERT RD
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City | RIVER EDGE
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State | NJ
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Zip | 07661-2177
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Country | US
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Telephone | 347-401-3886
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. SUNG WOOK YOON
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Credential | DC
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Telephone | 347-401-3886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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