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 4 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