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Organization
RIVERDALE CHIROPRACTIC OFFICE PC
Active
Organization
RIVERDALE CHIROPRACTIC OFFICE PC
Active
Other names
Dr Mark Leshner
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK LESHNER DC (PRESIDENT)
(718) 796-7878
Entity
Organization
Contact information
Practice address
3424 KINGSBRIDGE AVE, SUITE 1H, BRONX, NY 10463
(718) 796-7878
(718) 796-7878
Mailing address
PO BOX 1285, BRONX, NY 10471
(718) 796-7878
(718) 796-7878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0031181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X05Y41
BLUE CROSS
NY
Enumeration date
12/28/2006
Last updated
08/22/2020
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