Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X0044821 | NY |
NPI | 1003809278 |
---|---|
Provider Name | Dr. Vincent Nunziata |
First Address | Brooklyn, NY 11204-3930 |
Second Address | Brooklyn, NY 11204-3930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 16/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T52813 | (02) | NY |