Individual
DR. MARY RIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1881 E MAIN ST, MOHEGAN LAKE, NY 10547-1249
(914) 528-8889
Mailing address
1881 E MAIN ST, MOHEGAN LAKE, NY 10547-1249
(914) 528-8889
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008106
NY
Other
Enumeration date
10/02/2006
Last updated
01/20/2011
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