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NPI Code Detail

MEDICARE: COMPREHENSIVE CHIROPRACTIC SERVICES PC

MEDICARE: COMPREHENSIVE CHIROPRACTIC SERVICES PC
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
1111N00000XChiropractorX010693-1NY

General Provider Information

NPI Number : 1235346677
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE CHIROPRACTIC SERVICES PC
Provider Business Mailing Address
First Line : 3 HOUSTON ST
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10302-2401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3371 RICHMOND AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10312-2025
Country : US
Telephone Number : 718-605-0200
Fax Number : 718-966-2256
Authorized Official
Title or Position : OWNER
Name : DR. ANTHONY VINCENT D'ANTONI
Credential : DC
Telephone Number : 718-605-0200
Provider Enumeration Date : 05/16/2007
Last Update Date : 08/22/2020

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Directions to “COMPREHENSIVE CHIROPRACTIC SERVICES PC ” Practice Location

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