Individual
DR. PAUL JOSEPH BROOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
16 BRENTWOOD RD, BAY SHORE, NY 11706-8011
(631) 666-6661
(631) 666-0424
Mailing address
270 E MAIN ST, BAY SHORE, NY 11706-8420
(631) 666-6661
(631) 666-0424
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
X3583
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
421629281
TAX ID
NY
Enumeration date
05/15/2007
Last updated
04/20/2011
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