Provider Demographics
NPI:1568881068
Name:CORMAN, BETH H (DC)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:H
Last Name:CORMAN
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 1:168 W 86TH ST
Mailing Address - Street 2:SUITE 1BW
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-4022
Mailing Address - Country:US
Mailing Address - Phone:212-501-7935
Mailing Address - Fax:
Practice Address - Street 1:168 W 86TH ST
Practice Address - Street 2:SUITE 1BW
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-4022
Practice Address - Country:US
Practice Address - Phone:212-501-7935
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-11
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-007580111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor