J.r. Dugo D.c.p.c. | |
4300 Hylan Blvd, Staten Island, NY 10312-6507 | |
(718) 984-0024 | |
(718) 984-4036 |
Full Name | J.r. Dugo D.c.p.c. |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 4300 Hylan Blvd, 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 |
---|---|---|---|
1629324330 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Jack R Dugo |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1336290980 PECOS PAC ID: 3476514902 Enrollment ID: I20120918000620 |
Mailing Address | Practice Location Address |
---|---|
J.r. Dugo D.c.p.c. 4300 Hylan Blvd, Staten Island, NY 10312-6507 Ph: (718) 984-0024 | J.r. Dugo D.c.p.c. 4300 Hylan Blvd, Staten Island, NY 10312-6507 Ph: (718) 984-0024 |
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