Individual
DR. RICHARD A DARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1 MOUNT MCKINLEY AVE, FARMINGVILLE, NY 11738-2107
(631) 736-0900
(631) 736-3842
Mailing address
1 MOUNT MCKINLEY AVE, FARMINGVILLE, NY 11738-2107
(631) 736-0900
(631) 736-3842
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
X004836-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017091
GHI
NY
01
—
11-2946756
LANDMARK
CA
01
—
115137
MPN
NY
01
—
1280677
UNITED HEALTH CARE
NY
01
—
320250
AMERICAN SPECIALTY HEALTH
CA
01
—
76833
AETNA
NY
01
—
8983718-00
CIGNA
CT
01
—
P647932
OXFORD
NY
Enumeration date
10/20/2006
Last updated
07/08/2007
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