Individual
DR. JASON TODD BIRNHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2136 GRAND AVE, NORTH BALDWIN, NY 11510-2949
(516) 223-7533
(516) 223-7534
Mailing address
2136 GRAND AVE, NORTH BALDWIN, NY 11510-2949
(516) 223-7533
(516) 223-7534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
XOO8482
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO8482-4B
WORKERS COMP
NY
Enumeration date
10/27/2006
Last updated
02/03/2010
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