Provider Demographics
NPI:1285853747
Name:VEROS, BRIAN NELSON (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:NELSON
Last Name:VEROS
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 1:100 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5131
Mailing Address - Country:US
Mailing Address - Phone:716-649-2225
Mailing Address - Fax:716-649-5455
Practice Address - Street 1:100 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5131
Practice Address - Country:US
Practice Address - Phone:716-649-2225
Practice Address - Fax:716-649-5455
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010414111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU89176Medicare UPIN