Provider Demographics
NPI:1740351964
Name:LAMBOY CHIROPRACTIC PC
Entity type:Organization
Organization Name:LAMBOY CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RUSSELL
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAMBOY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-249-4488
Mailing Address - Street 1:245 CONKLIN ST
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-2608
Mailing Address - Country:US
Mailing Address - Phone:516-249-4488
Mailing Address - Fax:516-249-4488
Practice Address - Street 1:245 CONKLIN ST
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-2608
Practice Address - Country:US
Practice Address - Phone:516-249-4488
Practice Address - Fax:516-249-4488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMX010041-1111NR0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0200XChiropractic ProvidersChiropractorRadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX1F771Medicare ID - Type Unspecified
=========Medicare UPIN