Organization
MOUNTAIN VALLEY CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN GREGORY MULHOLLAND D.C. (MANAGING MEMBER)
(518) 873-6744
Entity
Organization
Contact information
Practice address
1 WOODRUFF LN, ELIZABETHTOWN, NY 12932-0605
(518) 873-6744
(518) 873-2744
Mailing address
PO BOX 605, 1 WOODRUFF LN, ELIZABETHTOWN, NY 12932-0605
(518) 873-6744
(518) 873-2744
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009992
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02729000
—
NY
Enumeration date
01/10/2007
Last updated
08/22/2020
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