Individual
DR. KEN EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C. BCN
Contact information
Practice address
3 SWAN CT, OLD BETHPAGE, NY 11804-1307
(516) 381-9055
Mailing address
PO BOX 58, OLD BETHPAGE, NY 11804-0058
(516) 381-9055
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008036-1
NY
Other
Enumeration date
08/19/2006
Last updated
11/18/2025
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