Individual provider · Type 1 NPI
Star Anthony, DC
Chiropractor · Port Washington, NY
NPI number
1962550103
Active
Practice location
64 Beacon Hill Rd
Port Washington, NY 11050-3034
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X006041 (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 1962550103
Star Anthony, DC's National Provider Identifier is 1962550103, issued on Jan 6, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Port Washington, NY. The record was last updated on Jul 8, 2007.