Provider Demographics
NPI:1447237961
Name:SEMENTE, RAYMOND A (DC)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:A
Last Name:SEMENTE
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 1:265 LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:ST JAMES
Mailing Address - State:NY
Mailing Address - Zip Code:11780-2221
Mailing Address - Country:US
Mailing Address - Phone:631-584-7722
Mailing Address - Fax:631-584-6198
Practice Address - Street 1:265 LAKE AVE
Practice Address - Street 2:
Practice Address - City:ST JAMES
Practice Address - State:NY
Practice Address - Zip Code:11780-2221
Practice Address - Country:US
Practice Address - Phone:631-584-7722
Practice Address - Fax:631-584-6198
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX35081111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01738352Medicaid
NY01738352Medicaid