Individual
DONALD HALVERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 BRUCKNER BLVD, BRONX, NY 10454-4414
(718) 402-5200
(718) 402-5211
Mailing address
14 BRUCKNER BLVD, BRONX, NY 10454-4414
(718) 402-5200
(718) 402-5211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
008733
NY
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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