Provider Demographics
NPI:1467509901
Name:CHORNEY, BRANDON T (DC)
Entity Type:Individual
Prefix:DR
First Name:BRANDON
Middle Name:T
Last Name:CHORNEY
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 1:3 STATE ROUTE 39
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-4000
Mailing Address - Country:US
Mailing Address - Phone:203-746-6543
Mailing Address - Fax:203-746-7321
Practice Address - Street 1:3 STATE ROUTE 39
Practice Address - Street 2:
Practice Address - City:NEW FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06812-4000
Practice Address - Country:US
Practice Address - Phone:203-746-6543
Practice Address - Fax:203-746-7321
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001704111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor