Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X001973-3 | NY |
NPI | 1336282110 |
---|---|
Provider Name | Dr. Dennis J. Pazos |
First Address | North Bellmore, NY 11710-5534 |
Second Address | Woodhaven, NY 11421-2209 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2007 |
Last Update Date | 08/07/2007 |