Provider Demographics
NPI:1639202146
Name:STELLA LADAO CHIROPRACTOR
Entity type:Organization
Organization Name:STELLA LADAO CHIROPRACTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:LADAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-370-7470
Mailing Address - Street 1:77 RICHMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-7872
Mailing Address - Country:US
Mailing Address - Phone:718-370-7470
Mailing Address - Fax:
Practice Address - Street 1:77 RICHMOND HILL RD
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-7872
Practice Address - Country:US
Practice Address - Phone:718-370-7470
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty