Provider Demographics
NPI:1972371342
Name:FORSTER, CAL
Entity type:Individual
Prefix:
First Name:CAL
Middle Name:
Last Name:FORSTER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 STONYWELL CT
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5421
Mailing Address - Country:US
Mailing Address - Phone:917-838-2782
Mailing Address - Fax:
Practice Address - Street 1:220 S SERVICE RD
Practice Address - Street 2:
Practice Address - City:ROSLYN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11577-2129
Practice Address - Country:US
Practice Address - Phone:917-838-2782
Practice Address - Fax:631-824-9199
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013787111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor