Provider Demographics
NPI:1528489721
Name:DR. BENJAMIN CARLOW CHIROPRACTOR
Entity type:Organization
Organization Name:DR. BENJAMIN CARLOW CHIROPRACTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-993-9582
Mailing Address - Street 1:71 BARNUM AVE
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-5233
Mailing Address - Country:US
Mailing Address - Phone:516-993-9582
Mailing Address - Fax:
Practice Address - Street 1:71 BARNUM AVE
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-5233
Practice Address - Country:US
Practice Address - Phone:516-993-9582
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012449-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty