Individual ProviderSean ClancyChiropractorChiropractic ProvidersPractice Address133 E 58th St, New York, NY 10022-1236(212) 371-2000(631) 254-0155PECOS EnrollmentBased on the most recent information from CMS, provider Sean Clancy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1215337191Provider TypeIndividualFull NameClancy, SeanTitleDr.CredentialDCGenderMaleSole ProprietorNoEnumeration Date8/28/2014Last Updated6/24/2019Contact InformationPractice LocationPractice Address133 E 58th St, New York, NY 10022-1236Phone(212) 371-2000Fax(212) 371-2250Mailing LocationMailing Address1941 Deer Park Ave, Ste A, Deer Park, NY 11729-3326Phone(631) 254-0155Fax(631) 254-0157Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX012542-1New York