Individual provider · Type 1 NPI
Anthony Stephen Mandracchia, DC
Chiropractor · Staten Island, NY
NPI number
1154428779
Active
Practice location
6659 Amboy Rd
Staten Island, NY 10309-3125
Fax (718) 966-5630
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X009001 (NY) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1154428779
Anthony Stephen Mandracchia, DC's National Provider Identifier is 1154428779, issued on Sep 17, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Staten Island, NY. The record was last updated on Jul 24, 2023.