| Country Chiropractic | |
|
2233 Nesconset Hwy, Suite 102, Lake Grove, NY 11755-1000 | |
| (631) 698-9800 | |
| (631) 698-9801 |
| Full Name | Country Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2233 Nesconset Hwy, Lake Grove, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477686038 | NPI | - | NPPES |
| 02220033 | Medicaid | NY | |
| A100001732 | Other | NY | MEDICARE PTAN |
| C09133-2 | Other | NY | WORKERS' COMP. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | X009133 (New York) | Primary |
| Provider Name | Clifford A Dukofsky |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104959774 PECOS PAC ID: 9931254919 Enrollment ID: I20090826000715 |
| Mailing Address | Practice Location Address |
|---|---|
| Country Chiropractic 2233 Nesconset Hwy, Suite 102, Lake Grove, NY 11755-1000 Ph: (631) 698-9800 | Country Chiropractic 2233 Nesconset Hwy, Suite 102, Lake Grove, NY 11755-1000 Ph: (631) 698-9800 |
Dr. Clifford A. Dukofsky, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 2233 Nesconset Hwy, Suite 102, Lake Grove, NY 11755 Phone: 631-698-9800 Fax: 631-698-9801 | |
Jessica Pagan, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 2780 Middle Country Rd Ste 140, Lake Grove, NY 11755 Phone: 631-580-1000 | |
Health One Medical Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2780 Middle Country Rd, Lake Grove, NY 11755 Phone: 631-580-1000 | |
Lake Grove Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 881 Hawkins Ave, Lake Grove, NY 11755 Phone: 631-588-3388 Fax: 631-588-5968 | |
Evan Keith Bernstein, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2780 Middle Country Rd, Suite 140, Lake Grove, NY 11755 Phone: 631-580-1000 Fax: 631-580-0483 | |
Dr. Joseph E Pfeifer, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 881 Hawkins Ave, Lake Grove, NY 11755 Phone: 631-588-3388 Fax: 631-588-5968 |