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General NPI Number Information
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NPI Number | 1376604736
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Entity Type | Organization
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Legal Business Name | MICHAEL G GIAMBERTONE D.C., P.C.
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Dates
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Enumeration Date | 12/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 80 MERRICK RD
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City | AMITYVILLE
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State | NY
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Zip | 11701-3456
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Country | US
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Telephone | 631-240-9296
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Fax | 631-649-4366
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Provider Business Mailing Address
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Address Line | 2347 GLADMORE ST
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City | EAST MEADOW
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State | NY
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Zip | 11554-3119
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Country | US
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Telephone | 516-794-4789
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL G GIAMBERTONE
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Credential | D.C.
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Telephone | 631-240-9296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 010220
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License Number State | NY
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