Individual provider · Type 1 NPI
Mary Ridge, DC
Chiropractor · Mohegan Lake, NY
NPI number
1013000835
Active
Practice location
1881 E Main St
Mohegan Lake, NY 10547-1249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X008106 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
About NPI 1013000835
Mary Ridge, DC's National Provider Identifier is 1013000835, issued on Oct 2, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Mohegan Lake, NY. The record was last updated on Jan 20, 2011.