Organization
MALTA CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAQAS PERVAIZ DC (CHIROPRACTOR)
(518) 289-5229
Entity
Organization
Contact information
Practice address
10 BLACKSMITH DR STE 1, BALLSTON SPA, NY 12020-4428
(518) 289-5229
Mailing address
10 BLACKSMITH DR STE 1, BALLSTON SPA, NY 12020-4428
(518) 289-5229
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012859-1
NY
111NR0400X
Rehabilitation Chiropractor
X006175-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447301049
NPI
NY
Enumeration date
01/31/2018
Last updated
06/20/2018
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