Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | X3580 | NY |
NPI | 1255438511 |
---|---|
Provider Name | Daniel Philip Bokor |
First Address | Far Rockaway, NY 11691-3625 |
Second Address | Far Rockaway, NY 11691-3625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 08/07/2007 |