Provider Demographics
NPI:1396947016
Name:GLENN H WHITNEY, D.C.,P.C.
Entity type:Organization
Organization Name:GLENN H WHITNEY, D.C.,P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:WHITNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-594-1900
Mailing Address - Street 1:PO BOX 461
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11571-0461
Mailing Address - Country:US
Mailing Address - Phone:516-594-1900
Mailing Address - Fax:516-594-1973
Practice Address - Street 1:279 SUNRISE HWY
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-4925
Practice Address - Country:US
Practice Address - Phone:516-594-1900
Practice Address - Fax:516-594-1973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008858111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU70283Medicare UPIN
NYX6A231Medicare PIN