Mrs Dawn M Wider, DC | |
1463 Route 300, Newburgh, NY 12550-2679 | |
(845) 566-5626 | |
(845) 566-5651 |
Full Name | Mrs Dawn M Wider |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1463 Route 300, Newburgh, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881811503 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X007103-1 (New York) | Primary |
Provider Name | Priestley Chiropractic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1508559097 PECOS PAC ID: 8022477579 Enrollment ID: O20230630003265 |
Mailing Address | Practice Location Address |
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Mrs Dawn M Wider, DC 1463 Route 300, Newburgh, NY 12550-2679 Ph: (845) 566-5626 | Mrs Dawn M Wider, DC 1463 Route 300, Newburgh, NY 12550-2679 Ph: (845) 566-5626 |
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