Provider Demographics
NPI:1053020818
Name:SWY CHIROPRACTIC P.C.
Entity type:Organization
Organization Name:SWY CHIROPRACTIC P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUNG
Authorized Official - Middle Name:W
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:347-401-3886
Mailing Address - Street 1:349A SOUNDVIEW LN
Mailing Address - Street 2:
Mailing Address - City:COLLEGE POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11356-1167
Mailing Address - Country:US
Mailing Address - Phone:347-401-3886
Mailing Address - Fax:
Practice Address - Street 1:370 LEXINGTON AVE RM 312
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-6564
Practice Address - Country:US
Practice Address - Phone:212-286-9800
Practice Address - Fax:212-286-9801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center