Provider Demographics
NPI:1225223233
Name:BEDFORD HILLS FAMILY CHIROPRACTIC PC
Entity Type:Organization
Organization Name:BEDFORD HILLS FAMILY CHIROPRACTIC PC
Other - Org Name:DR STUART C WEITZMAN
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:CRAIG
Authorized Official - Last Name:WEITZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:914-242-8810
Mailing Address - Street 1:85 ADAMS STREET
Mailing Address - Street 2:
Mailing Address - City:BEDFORD HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10507-1819
Mailing Address - Country:US
Mailing Address - Phone:914-242-8810
Mailing Address - Fax:914-241-8719
Practice Address - Street 1:85 ADAMS STREET
Practice Address - Street 2:
Practice Address - City:BEDFORD HILLS
Practice Address - State:NY
Practice Address - Zip Code:10507-1819
Practice Address - Country:US
Practice Address - Phone:914-242-8810
Practice Address - Fax:914-241-8719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
X1C531Medicare UPIN
XAWHMIMedicare PIN