Individual
MICHAEL WALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
86 SMITH AVE, MOUNT KISCO, NY 10549-2816
(914) 242-8844
Mailing address
86 SMITH AVE, MOUNT KISCO, NY 10549-2816
(914) 242-8844
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006632
NY
133V00000X
Registered Dietitian
005391
NY
Other
Enumeration date
02/05/2016
Last updated
05/04/2016
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