Individual
DR. RICHARD DICKRAN BOSSBALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHIROPRACTOR
Contact information
Practice address
6419 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1607
(201) 854-3440
(201) 854-0101
Mailing address
6419 BERGENLINE AVE, WEST NEW YORK, NJ 07093-1607
(201) 854-3440
(201) 854-0101
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00131900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168530901
—
NJ
01
—
226297469
GHI
NY
01
—
441350261
MEDICARERAILROAD
NJ
01
—
X56741
EMPIREBCBS
NJ
Enumeration date
10/13/2006
Last updated
05/30/2012
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