Provider Demographics
NPI:1306987300
Name:MERCKLING, AMANDA SUE (DC)
Entity type:Individual
Prefix:DR
First Name:AMANDA
Middle Name:SUE
Last Name:MERCKLING
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 1:3 CHRISTINE LN
Mailing Address - Street 2:
Mailing Address - City:YAPHANK
Mailing Address - State:NY
Mailing Address - Zip Code:11980-1207
Mailing Address - Country:US
Mailing Address - Phone:631-775-7145
Mailing Address - Fax:
Practice Address - Street 1:1 FULTON AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-3646
Practice Address - Country:US
Practice Address - Phone:516-292-2993
Practice Address - Fax:516-292-2996
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2009-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010868111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor