MEDICARE: DR. DOUGLAS R EGLAUF 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	X001515	NY

General Provider Information

NPI Number	:	1134224074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS R EGLAUF D.C.

Provider Business Mailing Address
First Line	:	12 OLD MAMARONECK RD
Second Line	:	SUITE 1E
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2010
Country	:	US
Telephone Number	:	914-686-0010
Fax Number	:	914-686-0206

Provider Business Practice Location Address
First Line	:	12 OLD MAMARONECK RD
Second Line	:	SUITE 1E
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-2010
Country	:	US
Telephone Number	:	914-686-0010
Fax Number	:	914-686-0206

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

Provider Enumeration Date	:	09/14/2006
Last Update Date	:	05/24/2026

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