MEDICARE: DR. ANNE BRANDON 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	X006370-1	NY

General Provider Information

NPI Number	:	1669554333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNE BRANDON D.C.

Provider Business Mailing Address
First Line	:	979 ROUTE 22
Second Line	:	SUITE B
City	:	BREWSTER
State	:	NY
Zip	:	10509-1526
Country	:	US
Telephone Number	:	845-279-4300
Fax Number	:	845-582-0293

Provider Business Practice Location Address
First Line	:	979 ROUTE 22
Second Line	:	SUITE B
City	:	BREWSTER
State	:	NY
Zip	:	10509-1526
Country	:	US
Telephone Number	:	845-279-4300
Fax Number	:	845-582-0293

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	09/23/2012

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