MEDICARE: DR. DARRIN KALOZ 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	009582	NY
2	111N00000X	Chiropractor	38MC00646700	NJ

General Provider Information

NPI Number	:	1629158779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DARRIN KALOZ D.C.

Provider Business Mailing Address
First Line	:	1354 MIDLAND AVE
Second Line	:	2T
City	:	BRONXVILLE
State	:	NY
Zip	:	10708-6806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2411 EASTCHESTER RD
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10469-5915
Country	:	US
Telephone Number	:	347-903-4506
Fax Number	:

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

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/17/2016

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