Provider Demographics
NPI:1396886875
Name:NANCY E. BRAND, DC PC
Entity type:Organization
Organization Name:NANCY E. BRAND, DC PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BRAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-354-2888
Mailing Address - Street 1:26 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2102
Mailing Address - Country:US
Mailing Address - Phone:516-354-2888
Mailing Address - Fax:516-354-0600
Practice Address - Street 1:26 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2102
Practice Address - Country:US
Practice Address - Phone:516-354-2888
Practice Address - Fax:516-354-0600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002775-1111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYXYW211Medicare PIN