Individual
DR. ALLAN WATTENMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
56 QUARRY LN, BEDFORD, NY 10506-1539
(914) 646-6893
(914) 234-2661
Mailing address
56 QUARRY LN, BEDFORD, NY 10506-1539
(914) 646-6893
(914) 234-2661
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC0058300
NJ
111N00000X
Chiropractor
Primary
X009236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002246327-001
UNITED HEALTHVARE
NY
01
—
01-0742307
HORIZON
NY
01
—
050009236NY01
ANTHEM BC/BS
NY
01
—
2949788
AETNA
NY
01
—
360241
MVP
NY
01
—
4982374
CIGNA
NY
01
—
4C5009
HEALTHNET
NY
01
—
5898060
GHI
NY
01
—
616362
ACN
NY
01
—
832468
MPN
NY
01
—
9250286
PHCS
NY
01
—
C092363B
WORKER'S COMP
NY
01
—
P2696703
OXFORD
NY
Enumeration date
07/05/2006
Last updated
07/08/2010
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