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General NPI Number Information
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NPI Number | 1356347314
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Entity Type | Individual
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Provider Name | BRENDAN DAMIAN DELAMERE D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/23/2005
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 410 ROUTE 6
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City | MAHOPAC
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State | NY
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Zip | 10541-1518
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Country | US
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Telephone | 845-628-6000
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Fax | 845-621-2225
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Provider Business Mailing Address
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Address Line | PO BOX 758
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City | MAHOPAC
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State | NY
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Zip | 10541-0758
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Country | US
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Telephone | 845-628-6000
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Fax | 845-621-2225
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X009453-1
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License Number State | NY
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