Individual
DR. CHARLES JOSEPH DIPACE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
839 NEW LOUDON RD, LATHAM, NY 12110-6101
(518) 783-8034
(518) 783-8062
Mailing address
839 NEW LOUDON RD, LATHAM, NY 12110-6101
(518) 783-8034
(518) 783-8062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006661-1
NY
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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