Healthcare Provider Details

I. General information

NPI: 1801525670
Provider Name (Legal Business Name): AUSTIN CARR DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2022
Last Update Date: 12/20/2024
Certification Date: 12/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 STEWART AVE STE 285
GARDEN CITY NY
11530-6800
US

IV. Provider business mailing address

901 STEWART AVE STE 285
GARDEN CITY NY
11530-6800
US

V. Phone/Fax

Practice location:
  • Phone: 516-742-5715
  • Fax: 516-742-1740
Mailing address:
  • Phone: 516-742-5715
  • Fax: 516-742-1740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX013736-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: