Organization
GLENMONT CHIROPRACTIC OFFICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY RIKER D.C. (OWNER)
(518) 449-3071
Entity
Organization
Contact information
Practice address
398 FEURA BUSH RD, GLENMONT, NY 12077-2954
(518) 449-3071
Mailing address
398 FEURA BUSH RD, GLENMONT, NY 12077-2954
(518) 449-3071
(518) 449-3073
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007718
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA1681
MEDICARE ORGANIZATION
NY
Enumeration date
04/23/2007
Last updated
09/27/2011
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