Provider Demographics
NPI:1902197593
Name:DOMINICK SENZAMICI DC PC
Entity Type:Organization
Organization Name:DOMINICK SENZAMICI DC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:
Authorized Official - Last Name:SENZAMICI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:718-829-3000
Mailing Address - Street 1:1330 HOBART AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-6017
Mailing Address - Country:US
Mailing Address - Phone:718-829-3000
Mailing Address - Fax:718-829-4639
Practice Address - Street 1:1330 HOBART AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-6017
Practice Address - Country:US
Practice Address - Phone:718-829-3000
Practice Address - Fax:718-829-4639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2011-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXOO5832111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty