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NPI Code Detail

MEDICARE: DR. MICHAEL JOHN DIMAIO D.C.

MEDICARE:  DR. MICHAEL JOHN DIMAIO  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
1111N00000XChiropractorX00596NY

General Provider Information

NPI Number : 1801079223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL JOHN DIMAIO D.C.
Provider Business Mailing Address
First Line : 306 WADING RIVER RD
Second Line :
City : MANORVILLE
State : NY
Zip : 11949-3444
Country : US
Telephone Number : 631-909-1700
Fax Number :
Provider Business Practice Location Address
First Line : 306 WADING RIVER RD
Second Line :
City : MANORVILLE
State : NY
Zip : 11949-3444
Country : US
Telephone Number : 631-909-1700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2007
Last Update Date : 04/19/2026

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Directions to “ DR. MICHAEL JOHN DIMAIO D.C.” Practice Location

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