Healthcare Provider Details

I. General information

NPI: 1215027768
Provider Name (Legal Business Name): PATRICIO DELSALTO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: PATRICK DELSALTO D.C.

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1191 ROUTE 9W STE 24
MARLBORO NY
12542-5423
US

IV. Provider business mailing address

1191 ROUTE 9W STE 24
MARLBORO NY
12542-5423
US

V. Phone/Fax

Practice location:
  • Phone: 845-561-2147
  • Fax: 845-290-2162
Mailing address:
  • Phone: 845-561-2147
  • Fax: 845-390-2162

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX010833
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: