Provider Demographics
NPI:1740366160
Name:HAND, THOMAS K (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:K
Last Name:HAND
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 1:3676 RICHMOND AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10312-3835
Mailing Address - Country:US
Mailing Address - Phone:718-984-5869
Mailing Address - Fax:718-984-5583
Practice Address - Street 1:3676 RICHMOND AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312-3835
Practice Address - Country:US
Practice Address - Phone:718-984-5869
Practice Address - Fax:718-984-5583
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-002011111N00000X
NY003791-1133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX14471Medicare PIN