Individual
BARRIE JOSEPH PILGRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC, PA-C
Contact information
Practice address
6 EUCLID AVE BLDG 2, CORTLAND, NY 13045-1257
(607) 753-9076
(607) 753-7506
Mailing address
100 METROPOLITAN PARK DR STE 100, LIVERPOOL, NY 13088-5842
(315) 870-9370
(315) 558-6611
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CH030070
DC
363A00000X
Physician Assistant
0110-005907
VA
363A00000X
Physician Assistant
Primary
021318-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
288992
ANTHEM BCBS
VA
01
—
G850-0001
CAREFIRST BCBS DCMETRO
DC
Enumeration date
08/17/2005
Last updated
03/17/2018
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