Healthcare Provider Details

I. General information

NPI: 1609017110
Provider Name (Legal Business Name): DOLPHIN CHIROPRACTIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2009
Last Update Date: 03/12/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

279 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-4925
US

IV. Provider business mailing address

279 SUNRISE HWY
ROCKVILLE CENTRE NY
11570-4925
US

V. Phone/Fax

Practice location:
  • Phone: 516-594-1900
  • Fax: 516-594-1973
Mailing address:
  • Phone: 516-594-1900
  • Fax: 516-594-1973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberX008858
License Number StateNY

VIII. Authorized Official

Name: DR. GLENN HOWARD WHITNEY
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 516-208-8187