MEDICARE: MR. THOMAS STEVEN DEMOTT DC

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	X003802 1	NY

General Provider Information

NPI Number	:	1356331912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. THOMAS STEVEN DEMOTT DC

Provider Business Mailing Address
First Line	:	631 SAW MILL RIVER RD
Second Line	:	STE 2NB
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2146
Country	:	US
Telephone Number	:	914-478-1300
Fax Number	:

Provider Business Practice Location Address
First Line	:	631 SAW MILL RIVER RD
Second Line	:	STE 2NB
City	:	ARDSLEY
State	:	NY
Zip	:	10502-2146
Country	:	US
Telephone Number	:	914-478-1300
Fax Number	:

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	08/11/2008

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