Provider Demographics
NPI:1346295078
Name:BIZ, ANTHONY DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:DANIEL
Last Name:BIZ
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 1:153 BEACH 123RD ST
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11694-1837
Mailing Address - Country:US
Mailing Address - Phone:917-923-7121
Mailing Address - Fax:646-435-2418
Practice Address - Street 1:2083 E 65TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5913
Practice Address - Country:US
Practice Address - Phone:718-531-4325
Practice Address - Fax:646-435-2418
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9371111N00000X
NYX009371-2332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6379560001Medicare NSC
NYX2K021Medicare PIN