Provider Demographics
NPI:1437181005
Name:DOUGLAS J. DUKOFSKY, D.C.P.C.
Entity Type:Organization
Organization Name:DOUGLAS J. DUKOFSKY, D.C.P.C.
Other - Org Name:VALLEY STREAM CHIROPRACTIC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:DUKOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-561-2225
Mailing Address - Street 1:139 N CENTRAL AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3856
Mailing Address - Country:US
Mailing Address - Phone:516-561-2225
Mailing Address - Fax:
Practice Address - Street 1:139 N CENTRAL AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3856
Practice Address - Country:US
Practice Address - Phone:516-561-2225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC09134OtherWORKERS COMP
NY7633479OtherAETNA US HEALTHCARE
NY103013OtherHERITAGE
NYX5T371OtherBLUE CROSS BLUE SHIELD
NY113423471OtherMAGNACARE
NY2018267OtherUNITED HEALTHCARE
NY470609OtherPHCS
NY139518OtherPRISM
NY2952860OtherOXFORD
NY5897920OtherGHI
NYNY09134OtherLANDMARK
NY2952860OtherOXFORD
NY103013OtherHERITAGE
NY113423471OtherMAGNACARE