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Individual

DR. IRENE CAROL MEDWID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
50 W 72ND ST, SUITE C5, NEW YORK, NY 10023-4199
(212) 873-8400
(212) 362-0119
Mailing address
50 W 72ND ST, SUITE C5, NEW YORK, NY 10023-4199
(212) 873-8400
(212) 362-0119

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005256-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CO-5256-5
WORKERS COMP
NY
Enumeration date
11/01/2006
Last updated
07/08/2007
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