MEDICARE: DR. LOUIS A CHIAPPETTA 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	111NX0800X	Orthopedic Chiropractor	X001710	NY

General Provider Information

NPI Number	:	1992861066
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS A CHIAPPETTA D.C.

Provider Business Mailing Address
First Line	:	2083 E 64TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5911
Country	:	US
Telephone Number	:	718-444-6364
Fax Number	:	718-209-5102

Provider Business Practice Location Address
First Line	:	2083 E 64TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-5911
Country	:	US
Telephone Number	:	718-444-6364
Fax Number	:	718-209-5102

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

Provider Enumeration Date	:	12/31/2006
Last Update Date	:	07/08/2007

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