Provider Demographics
NPI:1467466011
Name:ASKENAS, TODD BRADLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:BRADLEY
Last Name:ASKENAS
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 1:13 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PEARL RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10965-2318
Mailing Address - Country:US
Mailing Address - Phone:845-735-3737
Mailing Address - Fax:845-735-3753
Practice Address - Street 1:13 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PEARL RIVER
Practice Address - State:NY
Practice Address - Zip Code:10965-2318
Practice Address - Country:US
Practice Address - Phone:845-735-3737
Practice Address - Fax:845-735-3753
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06837-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC06837-1BOtherWORKERS COMPENSATION
NYX56241Medicare ID - Type Unspecified
NYC06837-1BOtherWORKERS COMPENSATION