Provider Demographics
NPI:1518295153
Name:ADAMO, VINCENT MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:MICHAEL
Last Name:ADAMO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:VINCENT
Other - Middle Name:MICHAEL
Other - Last Name:ADAMO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CHIROPRACTOR
Mailing Address - Street 1:35 HEYWOOD ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2411
Mailing Address - Country:US
Mailing Address - Phone:516-805-3827
Mailing Address - Fax:
Practice Address - Street 1:35 HEYWOOD ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2411
Practice Address - Country:US
Practice Address - Phone:516-805-3827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011777111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor