DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: OPTIMUM HEATH & PERFORMANCE

MEDICARE: OPTIMUM HEATH & PERFORMANCE
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
1111N00000XChiropractorX012796NY

General Provider Information

NPI Number : 1104279306
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMUM HEATH & PERFORMANCE
Provider Business Mailing Address
First Line : 7001 AMBOY RD
Second Line : SUITE 202C
City : STATEN ISLAND
State : NY
Zip : 10307-1444
Country : US
Telephone Number : 718-554-4080
Fax Number :
Provider Business Practice Location Address
First Line : 7001 AMBOY RD
Second Line : SUITE 202C
City : STATEN ISLAND
State : NY
Zip : 10307-1444
Country : US
Telephone Number : 718-554-4080
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. MICHAEL ROMAGNOLO
Credential :
Telephone Number : 917-709-2025
Provider Enumeration Date : 07/22/2016
Last Update Date : 07/22/2016

Similar Medicare Providers

1104236355 — WALGREEN CO
Practice Location Address:
7001 AMBOY RD
STATEN ISLAND, NY
10307-1444
Practice Phone: 718-569-5672
Practice Fax: 718-569-5673
1063585735 — BARRY JONATHAN GOLDMAN MSPT
Practice Location Address:
7001 AMBOY RD
STATEN ISLAND, NY
10307-1444
Practice Phone: 718-227-4400
Practice Fax: 718-227-4401
1467785550 — LESSLY CHINTAMANENI PHARMD
Practice Location Address:
7001 AMBOY RD
STATEN ISLAND, NY
10307-1444
Practice Phone: 718-569-5672
Practice Fax: 718-569-5673
1740512383 — MS. TINA MARIE SMITH RPH
Practice Location Address:
7001 AMBOY RD
STATEN ISLAND, NY
10307-1444
Practice Phone: 718-569-5672
Practice Fax: 718-569-5673
1740929710 — BARRY GOLDMAN PHYSICAL THERAPIST PLLC
Practice Location Address:
7001 AMBOY RD
STATEN ISLAND, NY
10307-1444
Practice Phone: 347-886-4062
Practice Fax:
1841127529 — MINDY CHOI
Practice Location Address:
7001 AMBOY RD
STATEN ISLAND, NY
10307-1444
Practice Phone: 718-569-5672
Practice Fax:

Directions to “OPTIMUM HEATH & PERFORMANCE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.