Provider Demographics
NPI:1609800465
Name:GERMINO, SALVATORE (DC)
Entity Type:Individual
Prefix:
First Name:SALVATORE
Middle Name:
Last Name:GERMINO
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 1:464 MANOR ROAD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314
Mailing Address - Country:US
Mailing Address - Phone:718-442-6690
Mailing Address - Fax:718-390-6900
Practice Address - Street 1:464 MANOR ROAD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314
Practice Address - Country:US
Practice Address - Phone:718-442-6690
Practice Address - Fax:718-390-6900
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009194111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
674101Medicare UPIN
X6B271Medicare ID - Type Unspecified