Provider Demographics
NPI:1447582739
Name:LAMBERTSON, RICHARD F (DC)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:F
Last Name:LAMBERTSON
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1027 HYLAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10305-2022
Mailing Address - Country:US
Mailing Address - Phone:917-474-0308
Mailing Address - Fax:
Practice Address - Street 1:150 BROADWAY RM 1213
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-4403
Practice Address - Country:US
Practice Address - Phone:174-740-3089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011836111N00000X
NYX011836111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor