Individual
EDWARD PAUL DESVERNINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
907 E TREMONT AVE, BRONX, NY 10460-4301
(718) 589-9588
(718) 589-9589
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009424
NY
Other
Enumeration date
03/07/2007
Last updated
03/05/2008
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