Anthony Addesso, DC | |
1740 44th St, Brooklyn, NY 11204-1050 | |
(347) 784-4931 | |
Not Available |
Full Name | Anthony Addesso |
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Gender | Male |
Speciality | Chiropractor |
Location | 1740 44th St, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104842210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | X004438 (New York) | Primary |
Provider Name | Back To Health Medical Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306121330 PECOS PAC ID: 3870767692 Enrollment ID: O20111114000189 |
Mailing Address | Practice Location Address |
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Anthony Addesso, DC 1740 44th St, Brooklyn, NY 11204-1050 Ph: (347) 784-4931 | Anthony Addesso, DC 1740 44th St, Brooklyn, NY 11204-1050 Ph: (347) 784-4931 |
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