Jack A Dippolito in Glencove - Chiropractor

Jack A Dippolito - NPI 1366444879

Jack A Dippolito is a Chiropractor in Glencove, New York. Jack A Dippolito practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack A Dippolito is 1366444879. The last update date is 2007-07-08.

Jack A Dippolito's current location address is 71 Valentine Ave, Glencove, New York. You can contact this provider via phone number 8456243909 and fax number 8456243909. The mailing address for Jack A Dippolito is 71 Valentine Ave, Glencove, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Jack A Dippolito
Address 71 Valentine Ave, Glencove, New York
Phone Number 8456243909
Fax Number 8456243909
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1366444879
Provider Enumeration Date 2005-08-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 71 Valentine Ave
City Glencove
State New York (NY)
Post Code 11542
Phone Number 8456243909
Fax Number 8456243909

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No X1732
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

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FAQs about Jack A Dippolito

What is the unique 10-digit identification code assigned to Jack A Dippolito by the Centers for Medicare & Medicaid Services?

The Jack A Dippolito has been issued the NPI (National Provider Identifier) 1366444879, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Jack A Dippolito is physically located?

The Jack A Dippolito is physically situated at the following address: 71 Valentine Ave, Glencove, NY, 11542.

What is the Jack A Dippolito's specialty and taxonomy code?

The Jack A Dippolito's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Jack A Dippolito receive its 1366444879 assignment from the Centers for Medicare & Medicaid Services?

The Jack A Dippolito was assigned its 1366444879 by the Centers for Medicare & Medicaid Services on 2005-08-15.

As of what date was the information pertaining to Jack A Dippolito, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Jack A Dippolito, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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