Provider Demographics
NPI:1487689352
Name:EMMETT, BERTRAND CARMEL (DC)
Entity Type:Individual
Prefix:DR
First Name:BERTRAND
Middle Name:CARMEL
Last Name:EMMETT
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 1:514 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:WEST HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11552-2657
Mailing Address - Country:US
Mailing Address - Phone:516-662-8181
Mailing Address - Fax:516-431-1969
Practice Address - Street 1:514 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:WEST HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11552-2657
Practice Address - Country:US
Practice Address - Phone:516-662-8181
Practice Address - Fax:516-431-1969
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6388111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor