Provider Demographics
NPI:1992861066
Name:CHIAPPETTA, LOUIS A (DC)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:A
Last Name:CHIAPPETTA
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 1:2083 E 64TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5911
Mailing Address - Country:US
Mailing Address - Phone:718-444-6364
Mailing Address - Fax:718-209-5102
Practice Address - Street 1:2083 E 64TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5911
Practice Address - Country:US
Practice Address - Phone:718-444-6364
Practice Address - Fax:718-209-5102
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX001710111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX00251Medicare ID - Type Unspecified
NYT51522Medicare UPIN