Provider Demographics
NPI:1366591455
Name:ZIRN, NEAL ASHLEY (DC)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:ASHLEY
Last Name:ZIRN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 LEROY ST
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-1737
Mailing Address - Country:US
Mailing Address - Phone:315-265-7451
Mailing Address - Fax:315-265-2643
Practice Address - Street 1:17 LEROY ST
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-1737
Practice Address - Country:US
Practice Address - Phone:315-265-7451
Practice Address - Fax:315-265-2643
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003200-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY38861BMedicare ID - Type UnspecifiedCHIROPRACTOR