Organization
GLOVERSVILLE CHIROPRACTIC & PHYSICAL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ERICKA JENSEN (OFFICE MANAGER)
(518) 869-3884
Entity
Organization
Contact information
Practice address
215 S KINGSBORO AVE EXT, GLOVERSVILLE, NY 12078-4651
(518) 869-3884
(518) 869-6030
Mailing address
1694 CENTRAL AVE, ALBANY, NY 12205-4002
(518) 869-3884
(518) 869-6030
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009067-1
NY
174400000X
Specialist
019993-1
NY
Other
Enumeration date
09/25/2014
Last updated
10/29/2014
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