Individual
CHRISTOPHER WIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
81 CONKLIN ST, FARMINGDALE, NY 11735-2502
(516) 752-1007
Mailing address
81 CONKLIN ST, FARMINGDALE, NY 11735-2502
(516) 713-4662
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009409-1
NY
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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