Provider Demographics
NPI:1043598147
Name:SAMPINO, SANTO RALPH (DC)
Entity Type:Individual
Prefix:DR
First Name:SANTO
Middle Name:RALPH
Last Name:SAMPINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:434A MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:ARMONK
Mailing Address - State:NY
Mailing Address - Zip Code:10504
Mailing Address - Country:US
Mailing Address - Phone:914-219-5799
Mailing Address - Fax:914-801-4788
Practice Address - Street 1:434A MAIN STREET
Practice Address - Street 2:
Practice Address - City:ARMONK
Practice Address - State:NY
Practice Address - Zip Code:10504
Practice Address - Country:US
Practice Address - Phone:914-219-5799
Practice Address - Fax:914-801-4788
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-25
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003978111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition