Individual
DOUGLAS J TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
65 PENNSYLVANIA AVE, BINGHAMTON, NY 13903-1608
(607) 754-4850
(607) 754-1477
Mailing address
33 LEWIS RD, 2ND FL, BINGHAMTON, NY 13905
(607) 729-8156
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009073
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03332221
—
NY
Enumeration date
09/06/2005
Last updated
08/03/2016
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