Provider Demographics
NPI:1154182608
Name:DANIEL BOKOR DCPC
Entity type:Organization
Organization Name:DANIEL BOKOR DCPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOKOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-426-8419
Mailing Address - Street 1:612 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4631
Mailing Address - Country:US
Mailing Address - Phone:516-426-8419
Mailing Address - Fax:
Practice Address - Street 1:612 E BROADWAY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:NY
Practice Address - Zip Code:11561-4631
Practice Address - Country:US
Practice Address - Phone:516-426-8419
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty