Provider Demographics
NPI:1669539680
Name:ARONOFF, ELLEN S (DC)
Entity type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:S
Last Name:ARONOFF
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:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11361-0460
Mailing Address - Country:US
Mailing Address - Phone:718-631-0195
Mailing Address - Fax:718-264-0343
Practice Address - Street 1:3434 BELL BLVD
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:NY
Practice Address - Zip Code:11361-1730
Practice Address - Country:US
Practice Address - Phone:718-631-0195
Practice Address - Fax:718-264-0343
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX7293111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
5802272OtherGHI
01108Medicare ID - Type Unspecified
5802272OtherGHI