Healthcare Provider Details

I. General information

NPI: 1740366160
Provider Name (Legal Business Name): THOMAS K. HAND D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2006
Last Update Date: 01/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3676 RICHMOND AVE
STATEN ISLAND NY
10312-3835
US

IV. Provider business mailing address

3676 RICHMOND AVE
STATEN ISLAND NY
10312-3835
US

V. Phone/Fax

Practice location:
  • Phone: 718-984-5869
  • Fax: 718-984-5583
Mailing address:
  • Phone: 718-984-5869
  • Fax: 718-984-5583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX-002011
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number003791-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: