Cooper Sciascia Dc Llc | |
1313 Clove Rd, Staten Island, NY 10301-4338 | |
(718) 448-0687 | |
(718) 448-3463 |
Full Name | Cooper Sciascia Dc Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1313 Clove Rd, Staten Island, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114668084 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Cooper John Sciascia |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1801537766 PECOS PAC ID: 4981081841 Enrollment ID: I20220513001935 |
Mailing Address | Practice Location Address |
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Cooper Sciascia Dc Llc 1313 Clove Rd, Staten Island, NY 10301-4338 Ph: (718) 448-0687 | Cooper Sciascia Dc Llc 1313 Clove Rd, Staten Island, NY 10301-4338 Ph: (718) 448-0687 |
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