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Organization
RICHARD J HERBOLD CHIROPRACTOR PC
Active
Organization
RICHARD J HERBOLD CHIROPRACTOR PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD J HERBOLD D.C. (OWNER)
(518) 371-6431
Entity
Organization
Contact information
Practice address
140 LAPP RD, CLIFTON PARK, NY 12065-6018
(518) 371-6431
(518) 383-5245
Mailing address
402 UNION ST, SCHENECTADY, NY 12305-1119
(518) 374-7555
(518) 374-6898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0273-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02731-0
LICENSE NUMBER
NY
01
—
J100006352
PTAN
NY
Enumeration date
09/29/2009
Last updated
12/02/2009
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