Provider Demographics
NPI:1811446461
Name:ADOFOLI, VINCENT YAO (DC)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:YAO
Last Name:ADOFOLI
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 1:12 PENNINGTON ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-1026
Mailing Address - Country:US
Mailing Address - Phone:302-316-5858
Mailing Address - Fax:302-364-1993
Practice Address - Street 1:12 PENNINGTON ST STE 200
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-1026
Practice Address - Country:US
Practice Address - Phone:302-321-5310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEF10011060111N00000X
NYX012870111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor