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Individual

MICHAEL NELIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1970 ROUTE 112 STE 6, CORAM, NY 11727-2300
(631) 451-1515
(631) 451-1616
Mailing address
1970 ROUTE 112 STE 6, CORAM, NY 11727-2300
(631) 451-1515
(631) 451-1616

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009263-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3560042-001
CIGNA
NY
01
5899463
GHI
NY
01
7918040
AETNA
NY
01
95674
VYTRA
NY
01
990089
EMPIRE HEIRTAGE
NY
01
AA50689A
MDNY
NY
01
P2174322
OXFORD
NY
01
SF0003053
SELECTPRO
NY
01
X7B15
EMPIRE BCBS
NY
Enumeration date
01/29/2007
Last updated
07/08/2007
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