MEDICARE: AMY FORSTEIN D.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	8414	FL

General Provider Information

NPI Number	:	1548480130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY FORSTEIN D.C.

Provider Business Mailing Address
First Line	:	1002 INGRAHAM AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-6859
Country	:	US
Telephone Number	:	561-703-4443
Fax Number	:

Provider Business Practice Location Address
First Line	:	4935 OKEECHOBEE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33417-4629
Country	:	US
Telephone Number	:	561-682-9383
Fax Number	:	561-682-9499

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	07/08/2007

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Directions to “ AMY FORSTEIN D.C.” Practice Location

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