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Individual

DR. NANCY A RADIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3979 STATE HIGHWAY 30, AMSTERDAM, NY 12010-6509
(518) 883-4456
(518) 883-6572
Mailing address
3979 STATE HIGHWAY 30, AMSTERDAM, NY 12010-6509
(518) 883-4456
(518) 883-6572

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X005402-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14-1777909
FED. EMPLOYER ID
Enumeration date
02/10/2007
Last updated
07/09/2007
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