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Individual

DR. AVIANNE WAITHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
3723 72ND ST FL 1, JACKSON HEIGHTS, NY 11372-6126
(443) 622-9429
(888) 573-3898
Mailing address
3723 72ND ST FL 1, JACKSON HEIGHTS, NY 11372-6126
(443) 622-9429
(888) 573-3898

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00711200
NJ
111NN1001X
Nutrition Chiropractor
38MC00711200
NJ
111NP0017X
Pediatric Chiropractor
38MC00711200
NJ
111NR0400X
Rehabilitation Chiropractor
X013232
NY

Other

Enumeration date
08/18/2014
Last updated
04/25/2024
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