MEDICARE: THOMAS DOW, D.C., 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	X003728-1	NY

General Provider Information

NPI Number	:	1366621450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOMAS DOW, D.C., P.C.

Provider Business Mailing Address
First Line	:	PO BOX 1535
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-0535
Country	:	US
Telephone Number	:	631-249-0011
Fax Number	:	631-249-1793

Provider Business Practice Location Address
First Line	:	535 BROADHOLLOW RD
Second Line	:	SUITE A-10
City	:	MELVILLE
State	:	NY
Zip	:	11747-3713
Country	:	US
Telephone Number	:	631-249-0011
Fax Number	:	631-249-1793

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. THOMAS DOW
Credential	:	D.C.
Telephone Number	:	631-249-0011

Provider Enumeration Date	:	10/25/2007
Last Update Date	:	10/25/2007

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