Provider Demographics
NPI:1912092883
Name:ARON, MATTHEW A (DC)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:A
Last Name:ARON
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 1:19 SANFORD LN
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-3303
Mailing Address - Country:US
Mailing Address - Phone:631-736-2323
Mailing Address - Fax:631-467-3383
Practice Address - Street 1:19 SANFORD LN
Practice Address - Street 2:SUITE M
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11790-3303
Practice Address - Country:US
Practice Address - Phone:631-736-2323
Practice Address - Fax:631-736-3116
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008576-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX1A051Medicare ID - Type Unspecified
NYU69167Medicare UPIN