Provider Demographics
NPI:1689627358
Name:FLAMM, HERBERT ERIK (DC)
Entity Type:Individual
Prefix:DR
First Name:HERBERT
Middle Name:ERIK
Last Name:FLAMM
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 1:47 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10301-3011
Mailing Address - Country:US
Mailing Address - Phone:718-727-0775
Mailing Address - Fax:718-727-0786
Practice Address - Street 1:47 FOREST AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-3011
Practice Address - Country:US
Practice Address - Phone:718-727-0775
Practice Address - Fax:718-727-0786
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0028951111N00000X
NJ38MC00221700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
X16881Medicare ID - Type Unspecified
T52272Medicare UPIN