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NPI Code Detail

MEDICARE: DR. RICHARD ANTHONY BOVE D.C.

MEDICARE: DR. RICHARD ANTHONY BOVE 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
1111N00000XChiropractorX007515-1NY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00296886OTHERRAILROAD MEDICARE INDIVID
9DE5018OTHERRAILROAD MEDICARE GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
25803469OTHERGHI
3P2486119OTHEROXFORD
42560341OTHERAETNA
5X8M17OTHEREMPIRE HEALTH PLANS
6102840400OTHERNYACN
7179023OTHERELDERPLAN
8827593OTHERMPN

General Provider Information

NPI Number : 1457417206
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD ANTHONY BOVE D.C.
Provider Business Mailing Address
First Line : 7378 AMBOY RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-1450
Country : US
Telephone Number : 718-948-9598
Fax Number : 718-605-2992
Provider Business Practice Location Address
First Line : 7378 AMBOY RD
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10307-1450
Country : US
Telephone Number : 718-948-9598
Fax Number : 718-605-2992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2006
Last Update Date : 08/30/2023

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