# BRANDON M HENKOWICZ DC, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417471202
- **Authorized official:** DR. BRANDON HENKOWICZ DC (OWNER)
- **Authorized official phone:** (631) 689-0049

## Contact information

- **Practice address:** 2500 NESCONSET HWY, STONY BROOK, NY 11790-2555
- **Practice address phone:** (631) 689-0049
- **Practice address fax:** (631) 689-0071
- **Mailing address:** 2500 NESCONSET HWY BLDG 9B, STONY BROOK, NY 11790-2553
- **Mailing address phone:** (631) 689-0049
- **Mailing address fax:** (631) 689-0071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X012178 | NY | Yes |

## Other

- **Enumeration date:** 08/02/2017
- **Last updated:** 11/10/2017