Provider Demographics
NPI:1942309646
Name:CHERKIN, ALLAN MITCHELL (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:MITCHELL
Last Name:CHERKIN
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 1:153 NORTH OCEAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:PATCHOGUE
Mailing Address - State:NY
Mailing Address - Zip Code:11772-2019
Mailing Address - Country:US
Mailing Address - Phone:631-758-6464
Mailing Address - Fax:631-758-4475
Practice Address - Street 1:153 NORTH OCEAN AVENUE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-2019
Practice Address - Country:US
Practice Address - Phone:631-758-6464
Practice Address - Fax:631-758-4475
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2010-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3464111N00000X
FL4280111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX19421Medicare UPIN
NYX19421Medicare ID - Type Unspecified