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NPI Code Detail

MEDICARE: DR. WALTER JOHN ALEXOVITZ DC PC JR. DC PC

MEDICARE: DR. WALTER JOHN ALEXOVITZ DC PC JR. DC PC
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
1111N00000XChiropractorX006743-1NY

General Provider Information

NPI Number : 1437298171
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WALTER JOHN ALEXOVITZ DC PC JR. DC PC
Provider Business Mailing Address
First Line : 1273 WILLIAM FLOYD PKWY
Second Line :
City : SHIRLEY
State : NY
Zip : 11967-1810
Country : US
Telephone Number : 631-281-7810
Fax Number : 631-281-7883
Provider Business Practice Location Address
First Line : 1273 WILLIAM FLOYD PKWY
Second Line :
City : SHIRLEY
State : NY
Zip : 11967-1810
Country : US
Telephone Number : 631-281-7810
Fax Number : 631-281-7883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 09/30/2009

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