Provider Demographics
NPI:1689724205
Name:FURMAN, ALAN R (DC)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:R
Last Name:FURMAN
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 1:135 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11746-3649
Mailing Address - Country:US
Mailing Address - Phone:631-423-1969
Mailing Address - Fax:631-423-2328
Practice Address - Street 1:135 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3649
Practice Address - Country:US
Practice Address - Phone:631-423-1969
Practice Address - Fax:631-423-2328
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT52058Medicare UPIN