# GLOVERSVILLE CHIROPRACTIC & PHYSICAL THERAPY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134521727
- **Authorized official:** MS. ERICKA JENSEN (OFFICE MANAGER)
- **Authorized official phone:** (518) 869-3884

## Contact information

- **Practice address:** 215 S KINGSBORO AVE EXT, GLOVERSVILLE, NY 12078-4651
- **Practice address phone:** (518) 869-3884
- **Practice address fax:** (518) 869-6030
- **Mailing address:** 1694 CENTRAL AVE, ALBANY, NY 12205-4002
- **Mailing address phone:** (518) 869-3884
- **Mailing address fax:** (518) 869-6030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009067-1 | NY | Yes |
| 174400000X | Specialist | 019993-1 | NY | — |

## Other

- **Enumeration date:** 09/25/2014
- **Last updated:** 10/29/2014