Provider Demographics
NPI:1841299245
Name:NESS, DAVID BRIAN (DC)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:BRIAN
Last Name:NESS
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 1:3 CHERRY HILL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-2204
Mailing Address - Country:US
Mailing Address - Phone:845-255-1200
Mailing Address - Fax:845-255-5875
Practice Address - Street 1:3 CHERRY HILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-2204
Practice Address - Country:US
Practice Address - Phone:845-255-1200
Practice Address - Fax:845-255-5875
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-18
Last Update Date:2014-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005651111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
886085OtherAETNA
DNOX355320OtherBLUE CROSS BLUE SHIELD
X5K131Medicare PIN