Individual provider · Type 1 NPI
Antonio G. Desposito, DC
Chiropractor · Staten Island, NY
NPI number
1417093022
Active
Practice location
290 Seguine Avenue
Staten Island, NY 10309
Fax (718) 356-8139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X0089091 (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 1417093022
Antonio G. Desposito, DC's National Provider Identifier is 1417093022, issued on Jan 30, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Staten Island, NY. The record was last updated on Oct 5, 2011.