Organization
NEW YORK INJURY CHIROPRACTIC REHAB PC
Active
Organization
NEW YORK INJURY CHIROPRACTIC REHAB PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AVIANNE WAITHE (OWNER)
(201) 536-0100
Entity
Organization
Contact information
Practice address
125 GLENRIDGE AVE, MONTCLAIR, NJ 07042-6800
(201) 536-0100
Mailing address
PO BOX 174, MONTCLAIR, NJ 07042-0174
(201) 536-0100
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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