Provider Demographics
NPI:1023174927
Name:BRIGHTMAN, WILLIAM F (DC MS)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:F
Last Name:BRIGHTMAN
Suffix:
Gender:M
Credentials:DC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MCMAHAN PLACE
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541
Mailing Address - Country:US
Mailing Address - Phone:845-628-4557
Mailing Address - Fax:845-628-4561
Practice Address - Street 1:10 MCMAHAN PLACE
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541
Practice Address - Country:US
Practice Address - Phone:845-628-4557
Practice Address - Fax:845-628-4561
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009034111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX5B051Medicare ID - Type Unspecified