Individual
JEFFERY D FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 JAMES ST, PULASKI, NY 13142
(315) 298-4399
(315) 298-4399
Mailing address
PO BOX 149, 1 JAMES ST, PULASKI, NY 13142-0149
(315) 298-4399
(315) 298-4399
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0047031
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000013786
BLUE CROSS BLUE SHIELD
—
01
—
0012404
GHI
—
01
—
4583537
AETNA
—
Enumeration date
11/22/2006
Last updated
05/23/2018
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