Provider Demographics
NPI:1871674424
Name:DIFILIPPO, LOUIS FRANCIS
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:FRANCIS
Last Name:DIFILIPPO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LOUIS
Other - Middle Name:F
Other - Last Name:DIFILIPPO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:908 JAY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-1038
Mailing Address - Country:US
Mailing Address - Phone:516-826-9251
Mailing Address - Fax:561-409-9166
Practice Address - Street 1:1100 WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:WANTAGH
Practice Address - State:NY
Practice Address - Zip Code:11793-2130
Practice Address - Country:US
Practice Address - Phone:516-826-8080
Practice Address - Fax:516-409-9166
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX004273111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T52957Medicare UPIN
X87541Medicare ID - Type Unspecified