Individual provider · Type 1 NPI

Elliot Lance Forman, DC

Chiropractor · Hauppauge, NY

NPI number 1902980071 Active

Practice location

515 Route 111, Suite 101
Hauppauge, NY 11788-4339

Call (631) 265-2225 Map

Fax (631) 265-3610

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X04839 (NY)

Chiropractor: 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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About NPI 1902980071

Elliot Lance Forman, DC's National Provider Identifier is 1902980071, issued on Oct 25, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Hauppauge, NY. The record was last updated on Jul 8, 2007.