Provider Demographics
NPI:1629283783
Name:DARCY, WALTER JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:WALTER
Middle Name:JOSEPH
Last Name:DARCY
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 1:21937 75TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND GARDENS
Mailing Address - State:NY
Mailing Address - Zip Code:11364-3035
Mailing Address - Country:US
Mailing Address - Phone:347-548-4055
Mailing Address - Fax:
Practice Address - Street 1:4010A BOSTON RD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475-1101
Practice Address - Country:US
Practice Address - Phone:718-320-0547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor