Mario Funicelli, | |
1931 Richmond Ave, Staten Island, NY 10314-3889 | |
(718) 477-9300 | |
(718) 477-9301 |
Full Name | Mario Funicelli |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 31 Years |
Location | 1931 Richmond Ave, Staten Island, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790810232 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NN0400X | Chiropractor - Neurology | X007427-1 (New York) | Primary |
Provider Name | Chiropractic Sport Joint Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588949721 PECOS PAC ID: 3577723519 Enrollment ID: O20120328000592 |
Mailing Address | Practice Location Address |
---|---|
Mario Funicelli, 1931 Richmond Ave, Staten Island, NY 10314-3889 Ph: (718) 477-9300 | Mario Funicelli, 1931 Richmond Ave, Staten Island, NY 10314-3889 Ph: (718) 477-9300 |
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