MEDICARE: CAL FORSTER

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	013787	NY

General Provider Information

NPI Number	:	1972371342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAL FORSTER

Provider Business Mailing Address
First Line	:	13 STONYWELL CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-5421
Country	:	US
Telephone Number	:	917-838-2782
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 S SERVICE RD
Second Line	:
City	:	ROSLYN HEIGHTS
State	:	NY
Zip	:	11577-2129
Country	:	US
Telephone Number	:	917-838-2782
Fax Number	:	631-824-9199

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

Provider Enumeration Date	:	12/15/2023
Last Update Date	:	12/18/2023

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Directions to “ CAL FORSTER ” Practice Location

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