Provider Demographics
NPI:1295026136
Name:ROOK, ROBERT ALLEN (DC)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ALLEN
Last Name:ROOK
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:PO BOX 1359
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-0308
Mailing Address - Country:US
Mailing Address - Phone:631-646-2256
Mailing Address - Fax:631-249-1793
Practice Address - Street 1:1041 ROUTE 112
Practice Address - Street 2:
Practice Address - City:PORT JEFFERSON STATION
Practice Address - State:NY
Practice Address - Zip Code:11776-6000
Practice Address - Country:US
Practice Address - Phone:631-646-2041
Practice Address - Fax:631-249-0011
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008002111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor