Provider Demographics
NPI:1710065289
Name:VELKOVICH, STAN (DC)
Entity Type:Individual
Prefix:DR
First Name:STAN
Middle Name:
Last Name:VELKOVICH
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 1:230 HILTON AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:HEMPSTEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11550-8115
Mailing Address - Country:US
Mailing Address - Phone:516-248-2870
Mailing Address - Fax:516-248-2869
Practice Address - Street 1:230 HILTON AVE
Practice Address - Street 2:STE 220
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-8115
Practice Address - Country:US
Practice Address - Phone:516-248-2870
Practice Address - Fax:516-248-2869
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010594111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7090478OtherAETNA
NY1042657OtherCIGNA
NY5897832OtherGHI
NYX5T831OtherEMPIRE BCBS
NY640805OtherACN
CTP3013728OtherOXFORD
NY640805OtherACN