Doctor Name: | DR. ROBERT C LEAHY |
NPI Number: | 1245213131 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | X0065433 |
Business Practice Address: | 1018 Waverly Ave Suite 13 Holtsville, NY - 117421128 |
Business Phone Number: | 6316547900 |
Business Fax Number: | 6316547972 |
Mailing Address: | 1018 Waverly Ave, Suite13 HOLTSVILLE |
State: | NY |
Postal Code: | 117421128 |
Phone Number: | 6316547900 |
Fax Number: | 6316547972 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 04/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X0065433 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |