Provider Demographics
NPI:1689766933
Name:MCATAMNEY, JOHN (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:MCATAMNEY
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 1:114 JERICHO TPKE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001-2004
Mailing Address - Country:US
Mailing Address - Phone:516-233-2883
Mailing Address - Fax:516-233-2885
Practice Address - Street 1:114 JERICHO TPKE
Practice Address - Street 2:SUITE 112
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2004
Practice Address - Country:US
Practice Address - Phone:516-233-2883
Practice Address - Fax:516-233-2885
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2015-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007303-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U51386Medicare UPIN
U51386Medicare UPIN