Dievendorf, Andrea Lilly

Dievendorf, Andrea Lilly is an individual health care provider with primary practice located at 2 Chelsea Pl , Clifton Park NY 12065-3227. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Dievendorf, Andrea Lilly can be contacted via phone (518) 373-6545.

Contact Information

Primary practice address
2 Chelsea Pl Clifton Park NY 12065-3227
Phone: (518) 373-6545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X X0108561 New York

Profile Details

NPI number 1225012800
LBN Legal business name Dievendorf, Andrea Lilly
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Aug 25th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225012800 NPPES
Other 2601222001 BSNENY
Other 7016671 BSNENY
Other NY23902 BSNENY

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