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Individual
DR. ROBERT JOSEPH IWANIEC
Active
Individual
DR. ROBERT JOSEPH IWANIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104001440
VA
111N00000X
Chiropractor
Primary
X005647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10015844
CDPHP
NY
01
—
CO5647
WCB
NY
01
—
X44341
EBCBS
NY
Enumeration date
10/27/2006
Last updated
09/21/2011
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