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NPI Code Detail

MEDICARE: NATHANIEL SCHILLING DC

MEDICARE: NATHANIEL SCHILLING DC
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
1111N00000XChiropractor013421NY

General Provider Information

NPI Number : 1467041814
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL SCHILLING DC
Provider Business Mailing Address
First Line : 85 ELMHURST AVE
Second Line :
City : MEDFORD
State : NY
Zip : 11763-3610
Country : US
Telephone Number : 410-841-8647
Fax Number :
Provider Business Practice Location Address
First Line : 636 MIDDLE COUNTRY RD
Second Line :
City : SELDEN
State : NY
Zip : 11784-2500
Country : US
Telephone Number : 631-736-4414
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2021
Last Update Date : 01/11/2021

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Directions to “ NATHANIEL SCHILLING DC” Practice Location

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