# ANDERSON CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1174699896
- **Authorized official:** MR. CRAIG W ANDERSON DC (DOCTOR OWNER)
- **Authorized official phone:** (518) 883-3877

## Contact information

- **Practice address:** 36 WEST MAIN ST, BROADALBIN, NY 12025
- **Practice address phone:** (518) 883-3877
- **Practice address fax:** (518) 883-8178
- **Mailing address:** PO BOX 908, 36 WEST MAIN ST, BROADALBIN, NY 12025
- **Mailing address phone:** (518) 883-3877
- **Mailing address fax:** (518) 883-8178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007617 | NY | Yes |

## Other

- **Enumeration date:** 11/27/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10038278 | CDPHP | NY |
| 01 | — | 930862 | EMPIRE PLAN | NY |
| 01 | — | 98L152 | MVP | NY |
| 01 | — | X66372 | EMPIRE BC | NY |