Individual
MS. ANNIE ROSE STIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
821 CLIFF ST, ITHACA, NY 14850-2097
(607) 256-9355
Mailing address
428 S PITNEY RD, GALLOWAY, NJ 08205-9774
(609) 204-7419
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
031622
NY
Other
Enumeration date
03/26/2019
Last updated
06/11/2019
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