Provider Demographics
NPI:1033297957
Name:HANDT, JAY (DC)
Entity Type:Individual
Prefix:DR
First Name:JAY
Middle Name:
Last Name:HANDT
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 1:91 CENTRAL PARK W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4600
Mailing Address - Country:US
Mailing Address - Phone:212-580-3350
Mailing Address - Fax:212-874-8034
Practice Address - Street 1:91 CENTRAL PARK W
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-4600
Practice Address - Country:US
Practice Address - Phone:212-580-3350
Practice Address - Fax:212-874-8034
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002106-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX1265100Medicare ID - Type Unspecified
NYX1265100Medicare PIN