Provider Demographics
NPI:1902098700
Name:FAIMAN, AHARON (DC)
Entity Type:Individual
Prefix:DR
First Name:AHARON
Middle Name:
Last Name:FAIMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:AHARON
Other - Middle Name:
Other - Last Name:FAIMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:118 GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-1324
Mailing Address - Country:US
Mailing Address - Phone:845-352-5215
Mailing Address - Fax:845-352-5215
Practice Address - Street 1:118 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-1324
Practice Address - Country:US
Practice Address - Phone:845-352-5215
Practice Address - Fax:845-290-1311
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-15
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007777-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP320 7053OtherOXFORD
NYX03081Medicare PIN