Individual
DR. KRISTI GRADY DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
577 CHESTNUT RIDGE RD, (2ND FLOOR), WOODCLIFF LAKE, NJ 07677-8409
(201) 424-6694
Mailing address
577 CHESTNUT RIDGE RD, (2ND FLOOR), WOODCLIFF LAKE, NJ 07677-8409
(201) 424-6694
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
011813
NY
111N00000X
Chiropractor
Primary
38MC00680500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
05/20/2009
Last updated
12/29/2011
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