Provider Demographics
NPI:1083762736
Name:BELL, DARREN R (DC)
Entity Type:Individual
Prefix:
First Name:DARREN
Middle Name:R
Last Name:BELL
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 1:5110 CAMP RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-2704
Mailing Address - Country:US
Mailing Address - Phone:716-649-9200
Mailing Address - Fax:716-649-9292
Practice Address - Street 1:5110 CAMP RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-2704
Practice Address - Country:US
Practice Address - Phone:716-649-9200
Practice Address - Fax:716-649-9292
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006951111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC06951-0OtherWORKERS COMPENSATION
NYC06951-0OtherWORKERS COMPENSATION
NYX006951Medicare ID - Type Unspecified