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Individual

DAVID A NOONAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
123 SARATOGA RD, GLENVILLE, NY 12302-4181
(518) 384-0877
(518) 384-0879
Mailing address
123 SARATOGA RD, GLENVILLE, NY 12302-4181
(518) 384-0877
(518) 384-0879

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
004434
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
33471
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
11/02/2006
Last updated
09/13/2007
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