Provider Demographics
NPI:1447673512
Name:DARCY CHIROPRACTIC
Entity type:Organization
Organization Name:DARCY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DARCY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-379-3052
Mailing Address - Street 1:310 MERRICK AVE
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2718
Mailing Address - Country:US
Mailing Address - Phone:516-379-3052
Mailing Address - Fax:
Practice Address - Street 1:310 MERRICK AVE
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2718
Practice Address - Country:US
Practice Address - Phone:516-379-3052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty