Elliot Lance Forman in Hauppauge - Chiropractor
Elliot Lance Forman - NPI 1902980071
Elliot Lance Forman is a Chiropractor in Hauppauge, New York. Elliot Lance Forman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Elliot Lance Forman is 1902980071. The last update date is 2007-07-08.
Elliot Lance Forman's current location address is 515 Route 111, Hauppauge, New York. You can contact this provider via phone number 6312652225 and fax number 6312653610. The mailing address for Elliot Lance Forman is 515 Route 111, Hauppauge, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elliot Lance Forman |
|---|---|
| Address | 515 Route 111, Hauppauge, New York |
| Phone Number | 6312652225 |
| Fax Number | 6312653610 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1902980071 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 515 Route 111 |
|---|---|
| City | Hauppauge |
| State | New York (NY) |
| Post Code | 117884339 |
| Phone Number | 6312652225 |
| Fax Number | 6312653610 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4839 |
|
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 inte |
|
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Elliot Lance Forman by the Centers for Medicare & Medicaid Services?
The Elliot Lance Forman has been issued the NPI (National Provider Identifier) 1902980071 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Elliot Lance Forman is physically located?
The Elliot Lance Forman is situated at the following address: 515 Route 111, Hauppauge, NY 117884339.
What is Elliot Lance Forman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elliot Lance Forman is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902980071 to Elliot Lance Forman?
The Elliot Lance Forman received its 1902980071 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
When was the information related to Elliot Lance Forman most recently updated or refreshed?
The details pertaining to the Elliot Lance Forman, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.