Provider Demographics
NPI:1528280096
Name:LOCKIE, JANET (DC)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:
Last Name:LOCKIE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:475 MAIN ST
Mailing Address - Street 2:STE 1B
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3570
Mailing Address - Country:US
Mailing Address - Phone:516-752-1099
Mailing Address - Fax:516-752-1102
Practice Address - Street 1:475 MAIN ST
Practice Address - Street 2:STE 1B
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3570
Practice Address - Country:US
Practice Address - Phone:516-752-1099
Practice Address - Fax:516-752-1102
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006515-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX53311Medicare ID - Type Unspecified