Dr Howard C Green, DC | |
1050 Old Nichols Rd, Islandia, NY 11749-5026 | |
(631) 249-0011 | |
(631) 249-1793 |
Full Name | Dr Howard C Green |
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Gender | Male |
Speciality | Chiropractor |
Location | 1050 Old Nichols Rd, Islandia, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639154941 | NPI | - | NPPES |
01768047 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 0104556324 (Virginia) | Secondary |
111N00000X | Chiropractor | 3382 (North Carolina) | Secondary |
111N00000X | Chiropractor | X007953 (New York) | Primary |
Provider Name | Suffolk Physical Therapy & Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417564253 PECOS PAC ID: 3072927763 Enrollment ID: O20210120001130 |
Mailing Address | Practice Location Address |
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Dr Howard C Green, DC 1050 Old Nichols Rd, Islandia, NY 11749-5026 Ph: (631) 249-0011 | Dr Howard C Green, DC 1050 Old Nichols Rd, Islandia, NY 11749-5026 Ph: (631) 249-0011 |
Mid-suffolk Chiropractic P.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 1717 Veterans Memorial Hwy Ste 1, Islandia, NY 11749 Phone: 631-203-4300 | |
Thomas F Dow, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1050 Old Nichols Rd, Islandia, NY 11749 Phone: 631-533-4132 Fax: 631-533-2132 | |
Dr. Michael Minond, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1050 Old Nichols Rd, Fl 2, Islandia, NY 11749 Phone: 631-533-4132 Fax: 631-533-2132 | |
Dr. Gabriel Enrique Padilla, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1050 Old Nichols Rd, Islandia, NY 11749 Phone: 631-533-4132 Fax: 631-533-2132 |