Provider Demographics
NPI:1801110507
Name:SCHLESINGER, BARRY CRAIG (DC)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:CRAIG
Last Name:SCHLESINGER
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 1:1158 STONY BROOK ROAD
Mailing Address - Street 2:
Mailing Address - City:LAKE GROVE
Mailing Address - State:NY
Mailing Address - Zip Code:11755-1610
Mailing Address - Country:US
Mailing Address - Phone:631-737-2867
Mailing Address - Fax:631-737-2867
Practice Address - Street 1:1158 STONY BROOK ROAD
Practice Address - Street 2:
Practice Address - City:LAKE GROVE
Practice Address - State:NY
Practice Address - Zip Code:11755-1610
Practice Address - Country:US
Practice Address - Phone:631-737-2867
Practice Address - Fax:631-737-2867
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-24
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005830-1111N00000X
VT0060000869111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC05830-7OtherWORKER'S COMPENSATION BOARD
NYC05830-7OtherWORKER'S COMPENSATION BOARD