Individual
DR. PAMELA IERARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
260 03 UNION TPKE, GLEN OAKS, NY 11004
(718) 347-5850
(718) 347-6054
Mailing address
260 03 UNION TPKE, GLEN OAKS, NY 11004
(718) 347-5850
(718) 347-6054
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005075
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36211
BCBS
NY
Enumeration date
09/01/2006
Last updated
03/26/2008
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