Healthcare Provider Details

I. General information

NPI: 1225223233
Provider Name (Legal Business Name): BEDFORD HILLS FAMILY CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 ADAMS STREET
BEDFORD HILLS NY
10507-1819
US

IV. Provider business mailing address

85 ADAMS STREET
BEDFORD HILLS NY
10507-1819
US

V. Phone/Fax

Practice location:
  • Phone: 914-242-8810
  • Fax: 914-241-8719
Mailing address:
  • Phone: 914-242-8810
  • Fax: 914-241-8719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. STUART CRAIG WEITZMAN
Title or Position: PRESIDENT
Credential: DC
Phone: 914-242-8810