Individual provider · NPI-1

Dr. Jonathan Todd Amdur, D.C.

Chiropractor · Babylon, NY

NPI number1255413217
StatusActive
Last updated in NPPESAug 20, 2010

Details

NPI
1255413217
Entity type
Individual (NPI-1)
Name
Dr. Jonathan Todd Amdur
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 19, 2006
Last updated
Aug 20, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorX007446NYYes

Practice location

194 Deer Park Ave
Babylon, NY 11702-2804

Phone 631-321-6300 · Fax 631-321-6338

Mailing address

194 Deer Park Ave
Babylon, NY 11702-2804

Phone 631-321-6300 · Fax 631-321-6338

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