Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN IRVING NYKWEST, D.C
Active Sole ProprietorOrthopedic (Chiropractor) · PLEASANTVILLE, NY
Registration Details
- NPI Number
- 1962556456
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 22, 2007 (19.246074117218 yrs)
- Last Updated
- Nov 15, 2016
- License
-
X002303-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 WASHINGTON AVENUEPLEASANTVILLE, NY, 10570Browse NY providers · Browse ZIP 10570
- Phone
- 9142735505
- Fax
- 9142736519
- Primary Specialty
-
Orthopedic (Chiropractor)
111NX0800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.