=====================================================
General NPI Number Information
=====================================================
NPI Number | 1629283783
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | WALTER JOSEPH DARCY D.C.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/11/2007
-----------------------------------------------------
Last Update Date | 08/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1819 MERRICK AVE
-----------------------------------------------------
City | MERRICK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11566-2718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-379-3052
-----------------------------------------------------
Fax | 516-379-4632
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1819 MERRICK AVE
-----------------------------------------------------
City | MERRICK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11566-2718
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-379-3052
-----------------------------------------------------
Fax | 516-379-4632
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 111N00000X
-----------------------------------------------------
Taxonomy Name | Chiropractor
-----------------------------------------------------
License Number | X010004
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------