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NPI Code Detail

MEDICARE: DR. JEFFREY MARK STANGER D.C.

MEDICARE:  DR. JEFFREY MARK STANGER  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
1111N00000XChiropractorX004619-1NY

General Provider Information

NPI Number : 1891883047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY MARK STANGER D.C.
Provider Business Mailing Address
First Line : 1015 W BEECH ST
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-1203
Country : US
Telephone Number : 516-889-6900
Fax Number : 516-897-5833
Provider Business Practice Location Address
First Line : 1015 W BEECH ST
Second Line :
City : LONG BEACH
State : NY
Zip : 11561-1203
Country : US
Telephone Number : 516-889-6900
Fax Number : 516-897-5833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JEFFREY MARK STANGER D.C.” Practice Location

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