Provider Demographics
NPI:1225117534
Name:DESING, BRETT ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:ANDREW
Last Name:DESING
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 1:38 OAK ST STE 2
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-2883
Mailing Address - Country:US
Mailing Address - Phone:631-654-2225
Mailing Address - Fax:631-730-8307
Practice Address - Street 1:38 OAK ST STE 2
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-2883
Practice Address - Country:US
Practice Address - Phone:631-654-2225
Practice Address - Fax:631-730-8307
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX4Y07OtherEMPIRE BC BS
NYX4L911Medicare ID - Type Unspecified