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1740323542
IVAN GREGORY WEINER
STATEN ISLAND, NY
NPI
1740323542
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: NY 009656)
Enumeration Date
2007-02-14
Last Update Date
2011-01-20
Business Address
Dr. IVAN GREGORY WEINER DC
468 S GANNON AVE
STATEN ISLAND, NY 10314-7610
Phone number: 718-556-5360
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Mailing Address
Dr. IVAN GREGORY WEINER DC
PO BOX 140386
STATEN ISLAND, NY 10314-0386
Phone number: 718-556-5360
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