MEDICARE: DR. FRANK EUGENE PREDA 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
1	111N00000X	Chiropractor	X002450-1	NY

General Provider Information

NPI Number	:	1720143548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK EUGENE PREDA DC

Provider Business Mailing Address
First Line	:	476 GLEN ST
Second Line	:
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-2926
Country	:	US
Telephone Number	:	518-792-8341
Fax Number	:

Provider Business Practice Location Address
First Line	:	476 GLEN ST
Second Line	:
City	:	GLENS FALLS
State	:	NY
Zip	:	12801-2926
Country	:	US
Telephone Number	:	518-792-8341
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/22/2006
Last Update Date	:	07/08/2007

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