MEDICARE: DR. TODD D. EGLOW D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	004343-1	NY
2	111N00000X	Chiropractor	8	VI
3	111N00000X	Chiropractor	38MC00294200	NJ

General Provider Information

NPI Number	:	1063412252
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD D. EGLOW D.C.

Provider Business Mailing Address
First Line	:	570 BOULEVARD
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1524
Country	:	US
Telephone Number	:	201-288-2354
Fax Number	:

Provider Business Practice Location Address
First Line	:	570 BOULEVARD
Second Line	:
City	:	HASBROUCK HEIGHTS
State	:	NJ
Zip	:	07604-1524
Country	:	US
Telephone Number	:	201-288-2354
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	08/04/2025

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