Provider Demographics
NPI:1134289440
Name:PINCUS, ANDREW DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:DAVID
Last Name:PINCUS
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 1:516 LAKEVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040
Mailing Address - Country:US
Mailing Address - Phone:516-775-0778
Mailing Address - Fax:516-775-0548
Practice Address - Street 1:516 LAKEVILLE ROAD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040
Practice Address - Country:US
Practice Address - Phone:516-775-0778
Practice Address - Fax:516-775-0548
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2013-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350052603OtherRAILROAD MEDICARE
110705OtherHEALTH PARTNERS
1039288OtherASHN
20178OtherVYTRA
208022OtherUNITED HEALTHCARE
205094300OtherFEDERAL GOVNT ACS
X8K151OtherEMPIRE BCBS
9668563OtherGHI
618062OtherACN GROUP
P12035292OtherMULTIPLAN
2592007OtherAETNA
C098394BOtherNYS WORKERS COMPENSATION
9668563OtherGHI
350052603OtherRAILROAD MEDICARE