MEDICARE: TATIANA DEMARTINO 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	014066	NY

General Provider Information

NPI Number	:	1225965650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TATIANA DEMARTINO DC

Provider Business Mailing Address
First Line	:	1633 TENBROECK AVE APT 1
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10461-2007
Country	:	US
Telephone Number	:	914-417-9363
Fax Number	:

Provider Business Practice Location Address
First Line	:	3951 DANBURY RD
Second Line	:
City	:	BREWSTER
State	:	NY
Zip	:	10509-5409
Country	:	US
Telephone Number	:	845-279-4300
Fax Number	:

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

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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Directions to “ TATIANA DEMARTINO DC” Practice Location

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