Provider Demographics
NPI:1568481026
Name:DRUCKER, ERIC CRAIG (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CRAIG
Last Name:DRUCKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:ERIC
Other - Middle Name:CRAIG
Other - Last Name:DRUCKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:145 KISCO AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1418
Mailing Address - Country:US
Mailing Address - Phone:914-666-2666
Mailing Address - Fax:914-244-9032
Practice Address - Street 1:145 KISCO AVE
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1418
Practice Address - Country:US
Practice Address - Phone:914-666-2666
Practice Address - Fax:914-244-9032
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004559-1111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician