Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X1922 | NY |
NPI | 1417011727 |
---|---|
Provider Name | Dr. Anthony V. Labate |
First Address | Pawling, NY 12564-1110 |
Second Address | Pawling, NY 12564-1110 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T51929 | (02) | NY |