Individual
ERIC S OBADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
129 10 23RD AVE, COLLEGE POINT, NY 11356
(718) 463-1166
(718) 463-1081
Mailing address
150 38 UNION TURNPIKE, 12S, FLUSHING, NY 11367
(631) 827-7418
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X005974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO59743B
WORK COMP
NY
Enumeration date
04/29/2008
Last updated
05/06/2008
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