Provider Demographics
NPI:1124041785
Name:WECHSLER, JEFFREY LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:LAWRENCE
Last Name:WECHSLER
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 1:135 WOODFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2524
Mailing Address - Country:US
Mailing Address - Phone:516-385-1525
Mailing Address - Fax:516-385-1519
Practice Address - Street 1:135 WOODFIELD RD
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2524
Practice Address - Country:US
Practice Address - Phone:516-385-1525
Practice Address - Fax:516-385-1519
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2470111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89728ZMedicare ID - Type UnspecifiedCHIROPRATIC