MEDICARE: DR. JOHN A. TONNA D.C.

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
1	111N00000X	Chiropractor	X008118	NY

General Provider Information

NPI Number	:	1912018441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN A. TONNA D.C.

Provider Business Mailing Address
First Line	:	474 NEW YORK AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3542
Country	:	US
Telephone Number	:	631-385-4500
Fax Number	:	631-385-4504

Provider Business Practice Location Address
First Line	:	474 NEW YORK AVE
Second Line	:
City	:	HUNTINGTON
State	:	NY
Zip	:	11743-3542
Country	:	US
Telephone Number	:	631-385-4500
Fax Number	:	631-385-4504

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/24/2019

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