Provider Demographics
NPI:1972595320
Name:POJERO, JOHN T JR (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:T
Last Name:POJERO
Suffix:JR
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 1:153 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2503
Mailing Address - Country:US
Mailing Address - Phone:631-244-0300
Mailing Address - Fax:631-244-5608
Practice Address - Street 1:153 MAIN ST
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2503
Practice Address - Country:US
Practice Address - Phone:631-244-0300
Practice Address - Fax:631-244-5608
Is Sole Proprietor?:No
Enumeration Date:2005-08-20
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008672111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU69953Medicare UPIN
NYX4A071Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER