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Individual

DR. CHAD DERRICK MACNAUGHTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, FNP

Contact information

Practice address
13 CHESTER ST, GLENS FALLS, NY 12801-2913
(518) 223-0331
(518) 223-0331
Mailing address
13 CHESTER ST, GLENS FALLS, NY 12801-2913
(518) 223-0331
(518) 223-0331

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X0101611
NY
363LF0000X
Family Nurse Practitioner
Primary
F348808-01
NY

Other

Enumeration date
10/20/2006
Last updated
01/04/2022
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