Anthony Stephen Mandracchia in Staten Island - Chiropractor

Anthony Stephen Mandracchia - NPI 1154428779

Anthony Stephen Mandracchia is a Chiropractor in Staten Island, New York. Anthony Stephen Mandracchia practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Anthony Stephen Mandracchia is 1154428779. The last update date is 2023-07-24.

Anthony Stephen Mandracchia's current location address is 6659 Amboy Rd, Staten Island, New York. You can contact this provider via phone number 7186052225 and fax number 7189665630. The mailing address for Anthony Stephen Mandracchia is 6659 Amboy Rd, Staten Island, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Stephen Mandracchia
Address 6659 Amboy Rd, Staten Island, New York
Phone Number 7186052225
Fax Number 7189665630
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1154428779
Provider Enumeration Date 2006-09-17
Last Updated Date 2023-07-24

Provider Mailing Address Detail

Address 6659 Amboy Rd
City Staten Island
State New York (NY)
Post Code 103093125
Phone Number 7186052225
Fax Number 7189665630

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No X009001
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2044728 NY --
2032523 NY UNITED HEALTHCARE
X1024 NY BCBS

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FAQs about Anthony Stephen Mandracchia

What is the unique 10-digit identifier code issued to Anthony Stephen Mandracchia by the Centers for Medicare & Medicaid Services?

The Anthony Stephen Mandracchia has been assigned the NPI (National Provider Identifier) 1154428779 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Anthony Stephen Mandracchia's facilities are geographically located?

The facilities of Anthony Stephen Mandracchia are physically situated at the following location: 6659 Amboy Rd, Staten Island, NY, 103093125.

What is Anthony Stephen Mandracchia's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Anthony Stephen Mandracchia is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the Anthony Stephen Mandracchia receive its 1154428779 assignment from the Centers for Medicare & Medicaid Services?

The Anthony Stephen Mandracchia was assigned its 1154428779 by the Centers for Medicare & Medicaid Services on 2006-09-17.

When was the information regarding Anthony Stephen Mandracchia most recently updated?

The details pertaining to the Anthony Stephen Mandracchia, including its address, specialty, and other relevant information, were last refreshed on 2023-07-24.

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