Provider Demographics
NPI:1518009760
Name:LALCHANDANI, ADHALIA R (DC)
Entity Type:Individual
Prefix:DR
First Name:ADHALIA
Middle Name:R
Last Name:LALCHANDANI
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 1:25 BROAD ST E
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10552-2258
Mailing Address - Country:US
Mailing Address - Phone:914-699-6770
Mailing Address - Fax:914-664-0090
Practice Address - Street 1:25 BROAD ST E
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-2258
Practice Address - Country:US
Practice Address - Phone:914-699-6720
Practice Address - Fax:914-664-0090
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246ZE0600X
NYX011161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty