Provider Demographics
NPI:1437167335
Name:ASKENAS CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ASKENAS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:B
Authorized Official - Last Name:ASKENAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-735-3737
Mailing Address - Street 1:67 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2444
Mailing Address - Country:US
Mailing Address - Phone:845-735-3737
Mailing Address - Fax:845-735-3753
Practice Address - Street 1:67 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2444
Practice Address - Country:US
Practice Address - Phone:845-735-3737
Practice Address - Fax:845-735-3753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY068371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
XDWLL1Medicare PIN
U39911Medicare UPIN