Provider Demographics
NPI:1447233275
Name:AMATULLI, FRANK VITO (DC)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:VITO
Last Name:AMATULLI
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 1:482 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
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-25
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005870-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX40461Medicare UPIN
NYX40461Medicare ID - Type Unspecified