Provider Demographics
NPI:1023820818
Name:YYC CHIROPRACTIC PC
Entity type:Organization
Organization Name:YYC CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YASMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COSEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:225-610-5221
Mailing Address - Street 1:2244 JACKSON AVE APT 1615
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11101-9428
Mailing Address - Country:US
Mailing Address - Phone:929-419-4643
Mailing Address - Fax:347-812-0086
Practice Address - Street 1:55 W 39TH ST RM 303
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-0567
Practice Address - Country:US
Practice Address - Phone:929-419-4643
Practice Address - Fax:347-812-0086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty