Individual
DR. JACK MARTIN BARNATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
535 BROADHOLLOW RD, SUITE A-16, MELVILLE, NY 11747-3713
(631) 777-7800
Mailing address
535 BROADHOLLOW RD, SUITE A-16, MELVILLE, NY 11747-3719
(631) 777-7800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X004125
NY
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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