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Individual

DR. GLEN IRVING NYKWEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
106 WASHINGTON AVENUE, PLEASANTVILLE, NY 10570
(914) 273-5505
(914) 273-6519
Mailing address
106 WASHINGTON AVENUE, PLEASANTVILLE, NY 10570
(914) 273-5505
(914) 273-6519

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
X002303-1
NY

Other

Enumeration date
01/22/2007
Last updated
11/15/2016
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