Provider Demographics
NPI:1285703074
Name:APPELBAUM, MARILYN (DC)
Entity type:Individual
Prefix:DR
First Name:MARILYN
Middle Name:
Last Name:APPELBAUM
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5911 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-2114
Mailing Address - Country:US
Mailing Address - Phone:718-234-6200
Mailing Address - Fax:718-234-6210
Practice Address - Street 1:5911 16TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-2114
Practice Address - Country:US
Practice Address - Phone:718-234-6200
Practice Address - Fax:718-234-6210
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002925111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX16751OtherBLUE CROSS, BLUE SHIELD
NY0082130OtherGHI
NY0082130OtherGHI