Provider Demographics
NPI:1346566692
Name:DOW, THOMAS F (DC)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:DOW
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 1:1050 OLD NICHOLS RD
Mailing Address - Street 2:
Mailing Address - City:ISLANDIA
Mailing Address - State:NY
Mailing Address - Zip Code:11749-5026
Mailing Address - Country:US
Mailing Address - Phone:631-533-4132
Mailing Address - Fax:631-533-2132
Practice Address - Street 1:1050 OLD NICHOLS RD
Practice Address - Street 2:
Practice Address - City:ISLANDIA
Practice Address - State:NY
Practice Address - Zip Code:11749-5026
Practice Address - Country:US
Practice Address - Phone:631-533-4132
Practice Address - Fax:631-533-2132
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011812111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor