Provider Demographics
NPI:1760557748
Name:FLUHR, CRAIG MITCHELL (DC)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:MITCHELL
Last Name:FLUHR
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 1:164 EAST MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743
Mailing Address - Country:US
Mailing Address - Phone:631-427-4700
Mailing Address - Fax:631-427-4704
Practice Address - Street 1:164 EAST MAIN STREET
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743
Practice Address - Country:US
Practice Address - Phone:631-427-4700
Practice Address - Fax:631-427-4704
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005690111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T86789Medicare UPIN
NYX35351Medicare ID - Type Unspecified