Provider Demographics
NPI:1013960343
Name:HANDELSMAN, BRUCE NEAL (DC)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:NEAL
Last Name:HANDELSMAN
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 1:52 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-2623
Mailing Address - Country:US
Mailing Address - Phone:845-353-2862
Mailing Address - Fax:845-353-2920
Practice Address - Street 1:52 N BROADWAY
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-2623
Practice Address - Country:US
Practice Address - Phone:845-353-2862
Practice Address - Fax:845-353-2920
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003343111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX19371Medicare PIN
NYT52457Medicare UPIN