Healthcare Provider Details

I. General information

NPI: 1083748396
Provider Name (Legal Business Name): DANIEL VAN-ZANDT D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 VIRGINIA RD
WHITE PLAINS NY
10603
US

IV. Provider business mailing address

78 VIRGINIA RD.
WHITE PLAINS NY
10603
US

V. Phone/Fax

Practice location:
  • Phone: 914-428-8400
  • Fax: 914-428-4060
Mailing address:
  • Phone: 914-428-8400
  • Fax: 914-428-4060

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX008727-2
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: