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Individual

JOHN R RIKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
398 FEURA BUSH RD, SUITE 2, GLENMONT, NY 12077-2954
(518) 618-5362
(518) 449-3073
Mailing address
398 FEURA BUSH RD, SUITE 2, GLENMONT, NY 12077-2954
(518) 618-5362
(518) 449-3073

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005277-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050582391
BSNENY/PRISM
NY
01
10045225
CDPHP
NY
01
1046936
AM. SPECIALITY HEALTH
NY
Enumeration date
08/10/2006
Last updated
07/21/2022
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