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Dr. Jeremy Tjandra Subadya, DC
Chiropractor in New York, New York
NPI 1467804609

Jeremy Tjandra Subadya is a Chiropractor based in New York, NY. Jeremy Tjandra Subadya practices in New York, NY and has the professional credentials of DC. The NPI Number for Jeremy Tjandra Subadya is 1467804609 and holds a License No. 012806 (New York).

The current practice location address for Jeremy Tjandra Subadya is 353 Lexington Ave Rm 1005, New York, NY and can be reached out via phone at 212-293-1722.

Location: 353 Lexington Ave Rm 1005, New York, NY, 10016-0941
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467804609
Provider Name
Jeremy Tjandra Subadya
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
353 Lexington Ave Rm 1005, New York, NY, 10016-0941
Phone Number
212-293-1722
Fax Number
Provider Enumeration Date
07/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
353 Lexington Ave Rm 1005
City
New York
State
New York
Zip
10016-0941
Phone Number
212-293-1722
Fax Number
person
Provider Business Mailing Address Details
Address
353 Lexington Ave Rm 1005
City
New York
State
New York
Zip
10016-0941
Phone Number
212-293-1722
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
012806 (New York)
Definition
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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