Provider Demographics
NPI:1932109592
Name:FRENCH, LORETTA MARIE (DC)
Entity Type:Individual
Prefix:
First Name:LORETTA
Middle Name:MARIE
Last Name:FRENCH
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 1:19 E 88TH ST
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-0557
Mailing Address - Country:US
Mailing Address - Phone:212-722-5271
Mailing Address - Fax:212-722-5703
Practice Address - Street 1:19 E 88TH ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-0557
Practice Address - Country:US
Practice Address - Phone:212-722-5271
Practice Address - Fax:212-722-5703
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-26
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX001742-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWCB-IME CO1742-8BOtherNY
NYWCB-IME CO1742-8BOtherNY