Edwin A Emerson | Medford, NY • PECOS Search

Edwin A Emerson

Chiropractor

Chiropractic Providers

140 Buffalo Ave, Medford, NY 11763-3711

PECOS Enrollment

Based on the most recent information from CMS, provider Edwin A Emerson does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 34 days ago.

Profile Details

Provider ID
1649314675
Provider Type
Individual
Full Name
Emerson, Edwin A
Title
Dr.
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
2/15/2007
Last Updated
7/8/2007

Contact Information

Practice Location

140 Buffalo Ave, Medford, NY 11763-3711

Unlisted Fax

Mailing Location

140 Buffalo Ave, Medford, NY 11763-3711

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License XOO5531-1 New York