1598940504 NPI number — DR. R MERRI HANDFINGER DC

Table of content: DR. R MERRI HANDFINGER DC (NPI 1598940504)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598940504 NPI number — DR. R MERRI HANDFINGER DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HANDFINGER
Provider First Name:
R
Provider Middle Name:
MERRI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HANDFINGER
Provider Other First Name:
ROSE
Provider Other Middle Name:
MERRIE
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1598940504
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
522 RUGBY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BROOKLYN
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11226-6506
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
718-469-8285
Provider Business Mailing Address Fax Number:
718-596-7127

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
522 RUGBY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROOKLYN
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11226-6506
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-469-8285
Provider Business Practice Location Address Fax Number:
718-596-7127
Provider Enumeration Date:
01/09/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  X004602-1 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)