Individual provider · Type 1 NPI
Jason D. Fidler, DC
Chiropractor · Brooklyn, NY
NPI number
1093047417
Active
Practice location
597 Degraw St
Brooklyn, NY 11217-3022
Mailing address
568 Union St, Suite 2B
Brooklyn, NY 11215-7073
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X011818-1 (NY) |
Chiropractor: 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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About NPI 1093047417
Jason D. Fidler, DC's National Provider Identifier is 1093047417, issued on Feb 10, 2010. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brooklyn, NY. The record was last updated on Mar 12, 2013.