Individual provider · Type 1 NPI
Ivy Lee, DC
Chiropractor · New York, NY
NPI number
1609195023
Active
Practice location
191 Canal St, Room 603
New York, NY 10013-4524
Fax (212) 219-0148
Mailing address
PO Box 130403
New York, NY 10013-0995
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X010745 (NY) |
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.
2 other providers at this address
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About NPI 1609195023
Ivy Lee, DC's National Provider Identifier is 1609195023, issued on May 25, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in New York, NY. The record was last updated on May 25, 2010.