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Dr. Jon Neil Brodbeck, DC
Chiropractor in Wading River, New York
NPI 1477612547

Jon Neil Brodbeck is a Chiropractor based in Wading River, NY. Jon Neil Brodbeck practices in Wading River, NY and has the professional credentials of DC. The NPI Number for Jon Neil Brodbeck is 1477612547 and holds a License No. X4005-1 (New York).

The current practice location address for Jon Neil Brodbeck is 5976 Route 25A, Wading River, NY and can be reached out via phone at 631-345-3035 and via fax at 631-345-3244.

Location: 5976 Route 25A, Wading River, NY, 11792-2001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477612547
Provider Name
Jon Neil Brodbeck
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
5976 Route 25A, Wading River, NY, 11792-2001
Phone Number
631-345-3035
Fax Number
631-345-3244
Provider Enumeration Date
12/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
X7L48 01 NY EMPIRE BLUE CROSS BLUE SH
3013830 01 NY AETNAUNITED HEALTH CARE
61297 01 NM ACN INSURANCE PLANS
institution
Provider Business Practice Location Address Details
Address
5976 Route 25A
City
Wading River
State
New York
Zip
11792-2001
Phone Number
631-345-3035
Fax Number
631-345-3244
person
Provider Business Mailing Address Details
Address
5976 Route 25A
City
Wading River
State
New York
Zip
11792-2001
Phone Number
631-345-3035
Fax Number
631-345-3244
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X4005-1 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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