Organization
IRBY SPINE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARCHER LEWIS IRBY D.C. (PRESIDENT)
(347) 766-0598
Entity
Organization
Contact information
Practice address
115 GRAND AVE, ENGLEWOOD, NJ 07631-3654
(201) 567-4729
(201) 567-4740
Mailing address
59 PRESIDENTIAL DR, ENGLEWOOD, NJ 07631-3960
(201) 759-3088
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X62A61
EMPIRE BCBS
NY
Enumeration date
05/08/2007
Last updated
03/25/2019
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