Individual
DR. JOHN J OBRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
492 PAWLING AVE, TROY, NY 12180-5834
(518) 286-3060
(518) 286-3044
Mailing address
492 PAWLING AVE, TROY, NY 12180-5834
(518) 286-3060
(518) 286-3044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0066141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10021222
CDPHP
NY
01
—
607980
MPN
NY
01
—
98L1915
MVP
NY
01
—
C066144
WORKERS COMPENSATION
NY
01
—
X54101
BLUE CROSS BLUE SHIELD
—
Enumeration date
10/11/2006
Last updated
08/24/2009
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