MEDICARE: DR. FILIPPO S RAGONE 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	X009216-1	NY

General Provider Information

NPI Number	:	1942402722
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FILIPPO S RAGONE D.C.

Provider Business Mailing Address
First Line	:	125 N CENTRAL AVE
Second Line	:
City	:	VALLEY STREAM
State	:	NY
Zip	:	11580-3822
Country	:	US
Telephone Number	:	516-872-3100
Fax Number	:	516-568-0876

Provider Business Practice Location Address
First Line	:	800 MANOR RD
Second Line	:	SUITE 2
City	:	STATEN ISLAND
State	:	NY
Zip	:	10314-7034
Country	:	US
Telephone Number	:	718-477-7960
Fax Number	:	718-477-7961

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

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	10/30/2008

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