Provider Demographics
NPI:1770524159
Name:DICURCIO, RALPH (DC)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:DICURCIO
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 1:3548 ROUTE 94
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:10918-1147
Mailing Address - Country:US
Mailing Address - Phone:845-649-6637
Mailing Address - Fax:
Practice Address - Street 1:253 ROUTE 211 E
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-3107
Practice Address - Country:US
Practice Address - Phone:845-956-1313
Practice Address - Fax:845-956-1314
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008290111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU81327Medicare UPIN
NYX8C331Medicare PIN