Provider Demographics
NPI:1518024496
Name:EPSTEIN, PHILIP MARC (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:MARC
Last Name:EPSTEIN
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 1:1 DOROTHEA ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NY
Mailing Address - Zip Code:11803-6211
Mailing Address - Country:US
Mailing Address - Phone:516-932-1616
Mailing Address - Fax:516-932-1632
Practice Address - Street 1:1 DOROTHEA ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-6211
Practice Address - Country:US
Practice Address - Phone:516-932-1616
Practice Address - Fax:516-932-1632
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006594-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX-12611Medicare PIN
NYU12669Medicare UPIN