MEDICARE: DR. KAROLY TOTH JR. 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	X011029-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C11029-8B	OTHER	NY	WORKERS' COMPENSATION

General Provider Information

NPI Number	:	1629267034
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAROLY TOTH JR. D.C.

Provider Business Mailing Address
First Line	:	141 SHOP CITY PLZ
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13206-1943
Country	:	US
Telephone Number	:	315-414-0224
Fax Number	:	315-414-0396

Provider Business Practice Location Address
First Line	:	141 SHOP CITY PLZ
Second Line	:
City	:	SYRACUSE
State	:	NY
Zip	:	13206-1943
Country	:	US
Telephone Number	:	315-414-0224
Fax Number	:	315-414-0396

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

Provider Enumeration Date	:	10/22/2007
Last Update Date	:	07/08/2013

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