Individual
MRS. DAWN M WIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1463 ROUTE 300, NEWBURGH, NY 12550-2679
(845) 566-5626
(845) 566-5651
Mailing address
1463 ROUTE 300, NEWBURGH, NY 12550-2679
(845) 566-5626
(845) 566-5651
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X007103-1
NY
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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