Provider Demographics
NPI:1144326083
Name:STRAUSS, ELLIOT (DC)
Entity type:Individual
Prefix:DR
First Name:ELLIOT
Middle Name:
Last Name:STRAUSS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18507 64TH AVE
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11365-2707
Mailing Address - Country:US
Mailing Address - Phone:718-445-7121
Mailing Address - Fax:718-445-7123
Practice Address - Street 1:18507 64TH AVE
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11365-2707
Practice Address - Country:US
Practice Address - Phone:718-445-7121
Practice Address - Fax:718-445-7123
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP2160020OtherOXFORD
NYC037756OtherWORKERS COMP
80051Medicare ID - Type Unspecified
NYC037756OtherWORKERS COMP