Individual provider · Type 1 NPI
Jack A. Dippolito, DC
Chiropractor · Glencove, NY
NPI number
1366444879
Active · reactivated Mar 27, 2006
Practice location
71 Valentine Ave
Glencove, NY 11542
Fax (845) 624-3909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X1732 (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.
About NPI 1366444879
Jack A. Dippolito, DC's National Provider Identifier is 1366444879, issued on Aug 15, 2005. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Glencove, NY. The record was last updated on Jul 13, 2026.