Individual
KIRSTEN J. FORMAN-BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
513 W UNION ST, NEWARK, NY 14513-1365
(315) 331-1801
(315) 331-1802
Mailing address
513 W UNION ST, NEWARK, NY 14513-1365
(315) 331-1801
(315) 331-1802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008568-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02264693
—
NY
01
—
106029AN
PREFERRED CARE
NY
01
—
7653252
AETNA
NY
01
—
P010008568
BLUE CROSS
NY
01
—
RC70008568
POMCO
NY
Enumeration date
06/27/2006
Last updated
09/27/2010
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