Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X0071311 | NY |
NPI | 1003972332 |
---|---|
Provider Name | Mr. Donald Henry Macready |
First Address | Brooklyn, NY 11209-2702 |
Second Address | Brooklyn, NY 11209-2702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1C8870 | LANDMARK HEALTHNET (01) | NY |
4456923 | AETNA USHC (01) | NY |
5802456 | GHI (01) | NY |
915184 | MULTIPLAN (01) | NY |
C0071318 | WORKERS COMPENSATION (01) | NY |
P2189331 | OXFORD (01) | NY |
P57139150 | MULTIPLAN UNIQUE PROVIDER (01) | NY |
U47313 | (02) |