Provider Demographics
NPI:1730280322
Name:TONYES, WALTER E (DC)
Entity Type:Individual
Prefix:
First Name:WALTER
Middle Name:E
Last Name:TONYES
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 1:633 ROUTE 211 E
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1780
Mailing Address - Country:US
Mailing Address - Phone:845-692-3224
Mailing Address - Fax:845-692-3426
Practice Address - Street 1:633 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1780
Practice Address - Country:US
Practice Address - Phone:845-692-3224
Practice Address - Fax:845-692-3426
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007654-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX85261Medicare ID - Type Unspecified
NYU49126Medicare UPIN