Provider Demographics
NPI:1649353228
Name:JEFFREY EDWARD POPLARSKI DC LLC
Entity type:Organization
Organization Name:JEFFREY EDWARD POPLARSKI DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:POPLARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DC LLC
Authorized Official - Phone:631-598-7034
Mailing Address - Street 1:PO BOX 477
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-0477
Mailing Address - Country:US
Mailing Address - Phone:631-598-7035
Mailing Address - Fax:631-598-7479
Practice Address - Street 1:217 MERRICK RD
Practice Address - Street 2:SUITE 204
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-3449
Practice Address - Country:US
Practice Address - Phone:631-598-7034
Practice Address - Fax:631-598-7479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX85922Medicare ID - Type Unspecified