Provider Demographics
NPI:1235199415
Name:DISCHIAVO, DANIEL ARTHUR (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ARTHUR
Last Name:DISCHIAVO
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 1:4299 MIDDLE SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:NY
Mailing Address - Zip Code:13413-5315
Mailing Address - Country:US
Mailing Address - Phone:315-732-2200
Mailing Address - Fax:315-732-2313
Practice Address - Street 1:4299 MIDDLE SETTLEMENT RD
Practice Address - Street 2:
Practice Address - City:NEW HARTFORD
Practice Address - State:NY
Practice Address - Zip Code:13413-5315
Practice Address - Country:US
Practice Address - Phone:315-732-2200
Practice Address - Fax:315-732-2313
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX00597111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY52562BMedicare ID - Type Unspecified
NYU12036Medicare UPIN