Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elliot Lance Forman, DC

Individual provider Chiropractor · NPI 1902980071

Dr. Elliot Lance Forman, DC is a Chiropractic in Hauppauge, New York. Graduated from New York Chiropractic College in 1986, 40 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
40
Trained at
New York Chiropractic College
Licensed in
NY
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

515 Route 111 Ste 101
Hauppauge, NY 11788-4339
Phone: (631) 265-2225
Fax: (631) 265-3610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 04839 (NY)

Record details

NPI number1902980071
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007
Mailing address515 Route 111, Suite 101, Hauppauge, NY 11788-4339

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNEW YORK CHIROPRACTIC COLLEGE
Graduated 1986 (40 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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