Provider Demographics
NPI:1972542728
Name:EAGLE, TERRY HOPE (DC)
Entity type:Individual
Prefix:DR
First Name:TERRY
Middle Name:HOPE
Last Name:EAGLE
Suffix:
Gender:F
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 DELAWARE DR
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11042-1116
Mailing Address - Country:US
Mailing Address - Phone:516-608-2880
Mailing Address - Fax:516-608-6887
Practice Address - Street 1:3 DELAWARE DR
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11042-1116
Practice Address - Country:US
Practice Address - Phone:516-608-2880
Practice Address - Fax:516-608-6887
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002424111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCE1459OtherRAILROAD MEDICARE
W2L251Medicare PIN
NYCE1459OtherRAILROAD MEDICARE