Provider Demographics
NPI:1245093053
Name:KORMAN, ABRAHAM (DC)
Entity type:Individual
Prefix:
First Name:ABRAHAM
Middle Name:
Last Name:KORMAN
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 1:130 RICHMOND PL
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1336
Mailing Address - Country:US
Mailing Address - Phone:516-239-0817
Mailing Address - Fax:
Practice Address - Street 1:551 MADISON AVE STE 1201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-3390
Practice Address - Country:US
Practice Address - Phone:212-373-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013815111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor