Provider Demographics
NPI:1477832863
Name:JEFFREY NAZAR D.C., P.C.
Entity Type:Organization
Organization Name:JEFFREY NAZAR D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-369-4323
Mailing Address - Street 1:189 MAIN RD STE A
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-1957
Mailing Address - Country:US
Mailing Address - Phone:631-369-4323
Mailing Address - Fax:631-369-4325
Practice Address - Street 1:189 MAIN RD
Practice Address - Street 2:SUITE A
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-1957
Practice Address - Country:US
Practice Address - Phone:631-369-4323
Practice Address - Fax:631-369-4325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-16
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6571680001Medicare NSC