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Organization
TWIN PINE FAMILY CHIROPRACTIC LLC
Active
Organization
TWIN PINE FAMILY CHIROPRACTIC LLC
Active
Other names
Twin Pine Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHARON ANN HULBERT D.C. (MEMBER)
(518) 853-1567
Entity
Organization
Contact information
Practice address
2609A STATE HIGHWAY 30A, FONDA, NY 12068-5955
(518) 853-1567
(518) 853-1609
Mailing address
592 N GREEN RD, SPRAKERS, NY 12166-3202
(518) 922-8624
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010120
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10057726
CDPHP
NY
01
—
431905082-01
BLUE SHIELD OF NORTHEAST
NY
01
—
C10120-6B
WORKERS COMPENSATION
NY
01
—
NY10120
MVP
NY
01
—
P00104411
RAIL ROAD MEDICARE
NY
01
—
X6R72
EMPIRE BLUE CROSS
NY
Enumeration date
10/17/2014
Last updated
10/17/2014
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