Provider Demographics
NPI:1033200563
Name:MERCKLING, JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:MERCKLING
Suffix:
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 1:3 CHRISTINE LN
Mailing Address - Street 2:
Mailing Address - City:YAPHANK
Mailing Address - State:NY
Mailing Address - Zip Code:11980-1207
Mailing Address - Country:US
Mailing Address - Phone:631-766-5322
Mailing Address - Fax:
Practice Address - Street 1:16 STATION RD STE 2
Practice Address - Street 2:
Practice Address - City:BELLPORT
Practice Address - State:NY
Practice Address - Zip Code:11713-2449
Practice Address - Country:US
Practice Address - Phone:631-286-2300
Practice Address - Fax:631-286-4615
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010618111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX11X11Medicare PIN
NYV10370Medicare UPIN