Individual
DR. JOSEPH CONLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
760 BROADWAY AVE, BRENTWOOD, NY 11717
(631) 952-9077
(631) 952-3971
Mailing address
760 BROADWAY AVE, BRENTWOOD, NY 11717
(631) 952-9077
(631) 952-3971
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
X0057531
NY
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
CNIM
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020062
GHI
NY
Enumeration date
08/02/2006
Last updated
05/02/2013
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