Mr Angelo A Dimaggio, DC | |
330 Seguine Ave, Staten Island, NY 10309-3941 | |
(718) 356-9222 | |
(718) 605-4729 |
Full Name | Mr Angelo A Dimaggio |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 330 Seguine Ave, Staten Island, 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 |
---|---|---|---|
1558437970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | XOO9078 (New York) | Primary |
Provider Name | Touch Stone Pavilion Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740971399 PECOS PAC ID: 4183072093 Enrollment ID: O20231201002254 |
Mailing Address | Practice Location Address |
---|---|
Mr Angelo A Dimaggio, DC 330 Seguine Ave, Staten Island, NY 10309-3941 Ph: (718) 356-9222 | Mr Angelo A Dimaggio, DC 330 Seguine Ave, Staten Island, NY 10309-3941 Ph: (718) 356-9222 |
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