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Dr. Andrea Lilly Dievendorf, DC
Chiropractor in Clifton Park, New York
NPI 1225012800

Andrea Lilly Dievendorf is a Chiropractor based in Clifton Park, NY. Andrea Lilly Dievendorf practices in Clifton Park, NY and has the professional credentials of DC. The NPI Number for Andrea Lilly Dievendorf is 1225012800 and holds a License No. X0108561 (New York).

The current practice location address for Andrea Lilly Dievendorf is 2 Chelsea Pl, Clifton Park, NY and can be reached out via phone at 518-373-6545. You can also correspond with Andrea Lilly Dievendorf through the mailing address at 2 CHELSEA PL, CLIFTON PARK, NY - 12065-3227 (mailing address contact number: 518-373-6545).

Location: 2 Chelsea Pl, Clifton Park, NY, 12065-3227
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225012800
Provider Name
Andrea Lilly Dievendorf
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
2 Chelsea Pl, Clifton Park, NY, 12065-3227
Phone Number
518-373-6545
Fax Number
Provider Enumeration Date
12/06/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2601222001 01 BSNENY
7016671 01 AETNA
NY23902 01 MVP
institution
Provider Business Practice Location Address Details
Address
2 Chelsea Pl
City
Clifton Park
State
New York
Zip
12065-3227
Phone Number
518-373-6545
Fax Number
person
Provider Business Mailing Address Details
Address
2 Chelsea Pl
City
Clifton Park
State
New York
Zip
12065-3227
Phone Number
518-373-6545
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X0108561 (New York)
Definition
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.
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