Provider Demographics
NPI:1497858054
Name:BABYATSKY, MARVIN JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:MARVIN
Middle Name:JOSEPH
Last Name:BABYATSKY
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 1:249 PERUVIAN AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33480
Mailing Address - Country:US
Mailing Address - Phone:561-832-0699
Mailing Address - Fax:561-832-2135
Practice Address - Street 1:249 PERUVIAN AVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33480
Practice Address - Country:US
Practice Address - Phone:561-832-0699
Practice Address - Fax:561-832-2135
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH2427111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
86563OtherWC
89887Medicare ID - Type Unspecified