Individual
DR. JON NEIL BRODBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5976 ROUTE 25A, WADING RIVER, NY 11792-2001
(631) 345-3035
(631) 345-3244
Mailing address
5976 ROUTE 25A, WADING RIVER, NY 11792-2001
(631) 345-3035
(631) 345-3244
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X4005-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3013830
AETNAUNITED HEALTH CARE
NY
01
—
61297
ACN INSURANCE PLANS
NM
01
—
X7L48
EMPIRE BLUE CROSS BLUE SH
NY
Enumeration date
12/06/2006
Last updated
06/01/2023
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