MEDICARE: DR. SANDRO SALVATORE FEMIA DC

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	X006483	NY

General Provider Information

NPI Number	:	1114432788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRO SALVATORE FEMIA DC

Provider Business Mailing Address
First Line	:	12910 23RD AVE
Second Line	:
City	:	COLLEGE POINT
State	:	NY
Zip	:	11356-2710
Country	:	US
Telephone Number	:	718-463-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	12910 23RD AVE
Second Line	:
City	:	COLLEGE POINT
State	:	NY
Zip	:	11356-2710
Country	:	US
Telephone Number	:	718-463-1166
Fax Number	:	718-463-1166

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

Provider Enumeration Date	:	12/05/2017
Last Update Date	:	12/05/2017

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