Provider Demographics
NPI:1790864171
Name:BRAND, NANCY E (DC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:E
Last Name:BRAND
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2102
Mailing Address - Country:US
Mailing Address - Phone:516-354-2888
Mailing Address - Fax:
Practice Address - Street 1:26 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2102
Practice Address - Country:US
Practice Address - Phone:516-354-2888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002775-1111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX4K641Medicare ID - Type Unspecified