Individual
DR. JEFFREY MICHAEL BLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
301 MAPLE AVE., SMITHTOWN, NY 11787
(631) 543-0004
Mailing address
301 MAPLE AVE, SMITHTOWN, NY 11787-4900
(631) 543-0004
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
6746-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003555
ASHN
—
01
—
1012459
UNITED HEALTHCARE
—
01
—
113151304
ANTHEM
—
01
—
113151394
AFFORDABLE
—
01
—
3C1588
HEALTHNET
—
01
—
543597
AETNA
NY
01
—
7401552113
CIGNA
—
01
—
P6455574
OXFORD
—
Enumeration date
04/14/2006
Last updated
11/19/2011
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