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JONATHAN SHEA DEGORTER D.C. NPI 1053657643


NPI Information

NPI: 1053657643
Provider Name: JONATHAN SHEA DEGORTER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
99 COLD SPRING RD STE 102A
SYOSSET, NY
ZIP 11791
Phone: (516) 921-1295
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Jonathan Shea Degorter, D.C. is a chiropractor in Syosset, NY. The provider is 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. Jonathan Shea Degorter, D.C. NPI is 1053657643. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

99 COLD SPRING RD STE 102A
SYOSSET, NY
ZIP 11791-140
Phone: (516) 921-1295
Fax: (516) 496-2860

The enumeration date for this NPI number is 12/31/2012 and was last updated on 3/10/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorX012214-1NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.