# GKDC INC.

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

## Provider details

- **NPI number:** 1851464408
- **Authorized official:** DR. GLENN KRIEGER D.C. (OWNER, PRESIDENT)
- **Authorized official phone:** (914) 698-9283

## Contact information

- **Practice address:** 1600 HARRISON AVE, SUITE 104, MAMARONECK, NY 10543-3145
- **Practice address phone:** (914) 698-9283
- **Practice address fax:** (914) 698-9436
- **Mailing address:** PO BOX 611, HARRISON, NY 10528-0611
- **Mailing address phone:** (914) 698-9283
- **Mailing address fax:** (914) 698-9436

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X009737 | NY | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 09/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 5897815 | GHI | NY |
| 01 | — | 652644 | ACN | NM |
| 01 | — | P2981383 | OXFORD | NY |
| 01 | — | X5V43 | BLUE CROSS BLUE SHIELD | NY |
| 01 | — | XVW791 | MEDICARE PTAN | NY |