Provider Demographics
NPI:1528109014
Name:TORNS, SCOTT RAYMOND (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:RAYMOND
Last Name:TORNS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:717 LARKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:COMMACK
Mailing Address - State:NY
Mailing Address - Zip Code:11725-2600
Mailing Address - Country:US
Mailing Address - Phone:631-858-1788
Mailing Address - Fax:631-493-0153
Practice Address - Street 1:717 LARKFIELD RD
Practice Address - Street 2:
Practice Address - City:COMMACK
Practice Address - State:NY
Practice Address - Zip Code:11725-2600
Practice Address - Country:US
Practice Address - Phone:631-858-1788
Practice Address - Fax:631-493-0153
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008119111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO8119-2OtherWORKER'S COMPENSATION
NYX77231Medicare ID - Type Unspecified
NYCO8119-2OtherWORKER'S COMPENSATION