Provider Demographics
NPI:1851489090
Name:HUGHES, EMMETT JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:EMMETT
Middle Name:JAMES
Last Name:HUGHES
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 1:775 PARK AVE
Mailing Address - Street 2:SUITE 118
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-3976
Mailing Address - Country:US
Mailing Address - Phone:631-673-6400
Mailing Address - Fax:631-673-6401
Practice Address - Street 1:775 PARK AVE
Practice Address - Street 2:SUITE 118
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-3976
Practice Address - Country:US
Practice Address - Phone:631-673-6400
Practice Address - Fax:631-673-6401
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008603111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX98031Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER