MEDICARE: DR. CHRISTOPHER SCOTT BYRON CHIROPRACTOR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X003169	NY

General Provider Information

NPI Number	:	1285723817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER SCOTT BYRON CHIROPRACTOR

Provider Business Mailing Address
First Line	:	1 GATE CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6755
Country	:	US
Telephone Number	:	631-643-9896
Fax Number	:	631-643-2780

Provider Business Practice Location Address
First Line	:	1 GATE CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6755
Country	:	US
Telephone Number	:	631-643-9896
Fax Number	:	631-643-2780

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/12/2006
Last Update Date	:	07/08/2007

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