MEDICARE: DR. ANDREW HOWARD CRISS 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	X009019	NY

General Provider Information

NPI Number	:	1801885108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW HOWARD CRISS D.C.

Provider Business Mailing Address
First Line	:	3601 HEMPSTEAD TPKE
Second Line	:	SUITE 508
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-1375
Country	:	US
Telephone Number	:	516-735-1800
Fax Number	:	516-579-5078

Provider Business Practice Location Address
First Line	:	3601 HEMPSTEAD TPKE
Second Line	:	SUITE 508
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-1375
Country	:	US
Telephone Number	:	516-735-1800
Fax Number	:	516-579-5078

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	07/08/2007

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