Provider Demographics
NPI:1467782755
Name:LINDEL, RALPH (DC)
Entity Type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:LINDEL
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 1:6 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-1104
Mailing Address - Country:US
Mailing Address - Phone:516-818-9262
Mailing Address - Fax:631-689-5759
Practice Address - Street 1:6 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-1104
Practice Address - Country:US
Practice Address - Phone:516-818-9262
Practice Address - Fax:631-689-5759
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-08
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003961111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor