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NPI Code Detail

MEDICARE: DAVID BRIAN NESS DC

MEDICARE:   DAVID BRIAN NESS  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NS0005XSports Physician ChiropractorX005651NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1886085OTHERAETNA
2DNOX355320OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1841299245
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID BRIAN NESS DC
Provider Business Mailing Address
First Line : 3 CHERRY HILL RD
Second Line : SUITE A
City : NEW PALTZ
State : NY
Zip : 12561-2204
Country : US
Telephone Number : 845-255-1200
Fax Number : 845-255-5875
Provider Business Practice Location Address
First Line : 3 CHERRY HILL RD
Second Line : SUITE A
City : NEW PALTZ
State : NY
Zip : 12561-2204
Country : US
Telephone Number : 845-255-1200
Fax Number : 845-255-5875
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2005
Last Update Date : 12/11/2014

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Directions to “ DAVID BRIAN NESS DC” Practice Location

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