Individual ProviderTodd Russell GoldmanChiropractorChiropractic ProvidersPractice Address2799 Route 112 Ste 5, Medford, NY 11763-2535(631) 447-2299PECOS EnrollmentBased on the most recent information from CMS, provider Todd Russell Goldman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1609942630Provider TypeIndividualFull NameGoldman, Todd RussellTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date11/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2799 Route 112 Ste 5, Medford, NY 11763-2535Phone(631) 447-2299Fax(631) 447-2297Mailing LocationMailing Address2799 Route 112 Ste 5, Medford, NY 11763-2535Phone(631) 447-2299Fax(631) 447-2297Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense8323New York