Provider Demographics
NPI:1306014287
Name:D'AMATO, CHRISTA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTA
Middle Name:MARIE
Last Name:D'AMATO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 CLIFTON AVE
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07013-3511
Mailing Address - Country:US
Mailing Address - Phone:973-894-3300
Mailing Address - Fax:973-894-3299
Practice Address - Street 1:1040 CLIFTON AVE
Practice Address - Street 2:FLOOR 2
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07013-3511
Practice Address - Country:US
Practice Address - Phone:973-894-3300
Practice Address - Fax:973-894-3299
Is Sole Proprietor?:No
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00658700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor