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Dr. Elliot Lance Forman, DC
Chiropractor in Hauppauge, New York
NPI 1902980071

Elliot Lance Forman is a Chiropractor based in Hauppauge, NY. Elliot Lance Forman practices in Hauppauge, NY and has the professional credentials of DC. The NPI Number for Elliot Lance Forman is 1902980071 and holds a License No. 04839 (New York).

The current practice location address for Elliot Lance Forman is 515 Route 111, Hauppauge, NY and can be reached out via phone at 631-265-2225 and via fax at 631-265-3610.

Location: 515 Route 111, Hauppauge, NY, 11788-4339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902980071
Provider Name
Elliot Lance Forman
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
515 Route 111, Hauppauge, NY, 11788-4339
Phone Number
631-265-2225
Fax Number
631-265-3610
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
515 Route 111
City
Hauppauge
State
New York
Zip
11788-4339
Phone Number
631-265-2225
Fax Number
631-265-3610
person
Provider Business Mailing Address Details
Address
515 Route 111
City
Hauppauge
State
New York
Zip
11788-4339
Phone Number
631-265-2225
Fax Number
631-265-3610
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
04839 (New York)
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.
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