Provider Demographics
NPI:1518031079
Name:SPOSTA, DANIEL (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SPOSTA
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 1:4 HAMPTON CT
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11020-1264
Mailing Address - Country:US
Mailing Address - Phone:516-466-6683
Mailing Address - Fax:718-224-2807
Practice Address - Street 1:5444 LITTLE NECK PKWY
Practice Address - Street 2:2
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11362-2211
Practice Address - Country:US
Practice Address - Phone:718-224-1902
Practice Address - Fax:718-224-2807
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX3181111N00000X
NY000936171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY86799Medicare ID - Type UnspecifiedCHIROPRACTOR
NYT74831Medicare UPIN