Provider Demographics
NPI:1851499180
Name:MERRIHEW, ROBERT E (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:E
Last Name:MERRIHEW
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 1:670 MONTAUK HWY
Mailing Address - Street 2:PO BOX 1293
Mailing Address - City:WATER MILL
Mailing Address - State:NY
Mailing Address - Zip Code:11976-2623
Mailing Address - Country:US
Mailing Address - Phone:631-726-4580
Mailing Address - Fax:631-726-5510
Practice Address - Street 1:670 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WATER MILL
Practice Address - State:NY
Practice Address - Zip Code:11976-2623
Practice Address - Country:US
Practice Address - Phone:631-726-4580
Practice Address - Fax:631-726-5510
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-008813-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX1A711Medicare ID - Type Unspecified
NYU69363Medicare UPIN