Individual provider · Type 1 NPI

Jeremy Tjandra Subadya, DC

Chiropractor · New York, NY

NPI number 1467804609 Active

Practice location

353 Lexington Ave Rm 1005
New York, NY 10016-0941

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X012806 (NY)
Chiropractor 111N00000X32396 (CA)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1467804609

Jeremy Tjandra Subadya, DC's National Provider Identifier is 1467804609, issued on Jul 12, 2016. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New York, NY. The record was last updated on Jul 12, 2016.