Individual provider · Type 1 NPI
Robert Dana Detrick, DC
Chiropractor · Vestal, NY
NPI number
1508972647
Active
Practice location
601 Gates Rd
Vestal, NY 13850-2288
Fax (607) 766-9601
Mailing address
1461 Sunnyside Rd
Nichols, NY 13812-2803
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X009577-1 (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.
Another provider at this address
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- Thomas Henry Golebiewski, DCChiropractor Vestal, NY NPI 1407934748
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About NPI 1508972647
Robert Dana Detrick, DC's National Provider Identifier is 1508972647, issued on Aug 22, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Vestal, NY. The record was last updated on Dec 23, 2015.