Individual provider · Type 1 NPI
Ken Eagle, D.C. BCN
Chiropractor · Old Bethpage, NY
NPI number
1154435519
Active
Practice location
3 Swan Ct
Old Bethpage, NY 11804-1307
Mailing address
PO Box 58
Old Bethpage, NY 11804-0058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X008036-1 (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.
About NPI 1154435519
Ken Eagle, D.C. BCN's National Provider Identifier is 1154435519, issued on Aug 19, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Old Bethpage, NY. The record was last updated on Nov 18, 2025.