MEDICARE: AG DC P.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	X009119-1	NY

General Provider Information

NPI Number	:	1245420355
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AG DC P.C.

Provider Business Mailing Address
First Line	:	165 FISHER AVE
Second Line	:
City	:	EASTCHESTER
State	:	NY
Zip	:	10709-2608
Country	:	US
Telephone Number	:	914-395-3977
Fax Number	:	914-395-3980

Provider Business Practice Location Address
First Line	:	165 FISHER AVE
Second Line	:
City	:	EASTCHESTER
State	:	NY
Zip	:	10709-2608
Country	:	US
Telephone Number	:	914-395-3977
Fax Number	:	914-395-3980

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. AARON GRAF
Credential	:	D.C.
Telephone Number	:	914-395-3977

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	04/18/2008

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