Kellie Anne Dattilo, | |
18 Seneca Manor Dr, Seneca Falls, NY 13148-2319 | |
(860) 689-3406 | |
Not Available |
Full Name | Kellie Anne Dattilo |
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Gender | Female |
Speciality | Chiropractor |
Location | 18 Seneca Manor Dr, Seneca Falls, 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 |
---|---|---|---|
1285492447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | STUDENT (New York) | Primary |
Provider Name | Drd Healthsource Chiropractic Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245479435 PECOS PAC ID: 9830243351 Enrollment ID: O20090819000050 |
Mailing Address | Practice Location Address |
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Kellie Anne Dattilo, 18 Seneca Manor Dr, Seneca Falls, NY 13148-2319 Ph: (860) 689-3406 | Kellie Anne Dattilo, 18 Seneca Manor Dr, Seneca Falls, NY 13148-2319 Ph: (860) 689-3406 |
William A Mcgrimley, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 27 State Street, Seneca Falls, NY 13148 Phone: 315-568-6767 Fax: 315-368-0070 | |
Miss Rebekah Yen Yen Tho, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 143 Fall St, Seneca Falls, NY 13148 Phone: 585-218-4245 | |
Dr. Larissa Lynn Martin, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-568-3166 | |
Dr. Wendy Lynn Maneri, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-568-3262 | |
Dr. Peter George Nickless, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3239 Lake Rd, Seneca Falls, NY 13148 Phone: 845-367-1171 | |
Dr. Brian Matthew Cunningham, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-568-3194 | |
Dr. Joseph Jeon, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2360 State Route 89, Seneca Falls, NY 13148 Phone: 315-651-2640 |