Provider Demographics
NPI:1336245935
Name:SPILLER, BRETT DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:BRETT
Middle Name:DAVID
Last Name:SPILLER
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 1:1860 N JERUSALEM RD
Mailing Address - Street 2:
Mailing Address - City:N BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1108
Mailing Address - Country:US
Mailing Address - Phone:516-554-8840
Mailing Address - Fax:516-706-8077
Practice Address - Street 1:1860 N JERUSALEM RD
Practice Address - Street 2:
Practice Address - City:N BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-1108
Practice Address - Country:US
Practice Address - Phone:516-554-8840
Practice Address - Fax:516-706-8077
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor