Individual
CARL JOHN ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D C
Contact information
Practice address
509 WHEELER RD, HAUPPAUGE, NY 11788-4347
(631) 348-5175
(631) 348-5176
Mailing address
PO BOX 5831, 509 WHEELER RD, HAUPPAUGE, NY 11788-0170
(631) 348-5175
(631) 348-5176
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X2566
NY
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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