MEDICARE: DR. FOSTER R. MALMED, D.C., P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X003821-1	NY

General Provider Information

NPI Number	:	1891966990
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. FOSTER R. MALMED, D.C., P.C.

Provider Business Mailing Address
First Line	:	2505 CARMEL AVE
Second Line	:	SUITE 207
City	:	BREWSTER
State	:	NY
Zip	:	10509-1155
Country	:	US
Telephone Number	:	845-279-3400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2505 CARMEL AVE
Second Line	:	SUITE 207
City	:	BREWSTER
State	:	NY
Zip	:	10509-1155
Country	:	US
Telephone Number	:	845-279-3400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. LINDA L WAFFORD
Credential	:
Telephone Number	:	845-279-3400

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	03/17/2008

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