Individual
DR. ARCHER LEWIS IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1336 UTICA AVE FL 2, BROOKLYN, NY 11203-5912
(347) 766-0598
(212) 202-4878
Mailing address
1336 UTICA AVE FL 2, BROOKLYN, NY 11203-5912
(347) 766-0598
(212) 202-4878
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3114
SC
111N00000X
Chiropractor
Primary
X010162
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134184144-003
UNITEDHEALTHCARE
NY
01
—
5806764
GHI
NY
01
—
P2646703
OXFORD
NY
01
—
X.4V971
BCBS
NY
01
—
X62A61
EMPIRE BCBS
NY
Enumeration date
03/07/2007
Last updated
03/25/2019
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