Individual
DR. ULYSES FAVIAN ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
57 DEMAREST RD, PARAMUS, NJ 07652-2109
(201) 873-2955
Mailing address
57 DEMAREST RD, PARAMUS, NJ 07652-2109
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00789600
NJ
111NN1001X
Nutrition Chiropractor
38MC00789600
NJ
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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