Individual provider · NPI-1

Dr. Paul Joseph Brooke, DC

Chiropractor, Rehabilitation · Bay Shore, NY

NPI number1275749426
StatusActive
Last updated in NPPESApr 20, 2011

Details

NPI
1275749426
Entity type
Individual (NPI-1)
Name
Dr. Paul Joseph Brooke
Credential
DC
Sex
Male
Sole proprietor
Yes
Enumeration date
May 15, 2007
Last updated
Apr 20, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111NR0400X Chiropractor, Rehabilitationx3583NYYes

Practice location

16 Brentwood Rd
Bay Shore, NY 11706-8011

Phone 631-666-6661 · Fax 631-666-0424

Mailing address

270 E Main St
Bay Shore, NY 11706-8420

Phone 631-666-6661 · Fax 631-666-0424

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