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NPI Code Detail

MEDICARE: DR. WALTER ALEXOVITZ D.C.P.C.

MEDICARE: DR. WALTER ALEXOVITZ 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
1111N00000XChiropractor006743NY

General Provider Information

NPI Number : 1437484433
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. WALTER ALEXOVITZ D.C.P.C.
Provider Business Mailing Address
First Line : 1273 WILLIAM FLOYD PKWY
Second Line :
City : SHIRLEY
State : NY
Zip : 11967-1810
Country : US
Telephone Number : 631-281-7810
Fax Number : 631-281-7883
Provider Business Practice Location Address
First Line : 1273 WILLIAM FLOYD PKWY
Second Line :
City : SHIRLEY
State : NY
Zip : 11967-1810
Country : US
Telephone Number : 631-281-7810
Fax Number : 631-281-7883
Authorized Official
Title or Position : CHIROPRACTOR/OWNER
Name : DR. WALTER ALEXOVITZ
Credential : D.C.
Telephone Number : 631-281-7810
Provider Enumeration Date : 10/08/2009
Last Update Date : 10/08/2009

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