Individual
CARSON TAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1500 MIDDLE COUNTRY RD, CENTEREACH, NY 11720-3500
(631) 543-1440
Mailing address
994 W JERICHO TPKE STE 104, SMITHTOWN, NY 11787-3211
(631) 543-1440
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
013749
NY
Other
Enumeration date
08/16/2023
Last updated
05/14/2025
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