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Individual
DR. BRETT AXELROD
Active
Individual
DR. BRETT AXELROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006838-1
NY
111NS0005X
Sports Physician Chiropractor
X006838-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X4R99
BCBS PIN
NY
Enumeration date
02/08/2007
Last updated
07/17/2024
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