MEDICARE: DR. JOSEPH P. CAMPISI 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	7706	NY

General Provider Information

NPI Number	:	1134173982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH P. CAMPISI D.C.

Provider Business Mailing Address
First Line	:	13355 LEFFERTS BLVD
Second Line	:
City	:	S OZONE PARK
State	:	NY
Zip	:	11420-3131
Country	:	US
Telephone Number	:	718-848-6663
Fax Number	:	718-738-3930

Provider Business Practice Location Address
First Line	:	13355 LEFFERTS BLVD
Second Line	:
City	:	S OZONE PARK
State	:	NY
Zip	:	11420-3131
Country	:	US
Telephone Number	:	718-848-6663
Fax Number	:	718-738-3930

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

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	09/16/2013

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