Provider Demographics
NPI:1417116914
Name:GILBERT, ALICIA LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:LYNN
Last Name:GILBERT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 1/2 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DELHI
Mailing Address - State:NY
Mailing Address - Zip Code:13753-1109
Mailing Address - Country:US
Mailing Address - Phone:607-267-3690
Mailing Address - Fax:
Practice Address - Street 1:5 1/2 MAIN ST
Practice Address - Street 2:
Practice Address - City:DELHI
Practice Address - State:NY
Practice Address - Zip Code:13753-1109
Practice Address - Country:US
Practice Address - Phone:607-746-8999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2009-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC010075111N00000X
NYX011765111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor