Provider Demographics
NPI:1295007425
Name:UNIONDALE CHIROPRACTIC OFFICE,P.C.
Entity Type:Organization
Organization Name:UNIONDALE CHIROPRACTIC OFFICE,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:VITO
Authorized Official - Last Name:AMATULLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:516-485-0220
Mailing Address - Street 1:482 UNIONDALE AVE
Mailing Address - Street 2:
Mailing Address - City:UNIONDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11553-2201
Mailing Address - Country:US
Mailing Address - Phone:516-485-0220
Mailing Address - Fax:516-485-0253
Practice Address - Street 1:482 UNIONDALE AVE
Practice Address - Street 2:
Practice Address - City:UNIONDALE
Practice Address - State:NY
Practice Address - Zip Code:11553-2201
Practice Address - Country:US
Practice Address - Phone:516-485-0220
Practice Address - Fax:516-485-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005870-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty