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Individual

DR. DAVID B BRIDGWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
417 W MERRICK RD, VALLEY STREAM, NY 11580-5220
(516) 561-4060
(516) 561-5392
Mailing address
417 W MERRICK RD, VALLEY STREAM, NY 11580-5220
(516) 561-4060
(516) 561-5392

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
X005938
NY

Other

Enumeration date
10/31/2006
Last updated
07/08/2007
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