# MARIO E INTRONA D C P C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619133188
- **Authorized official:** MR. MARIO E INTRONA DC (OWNER)
- **Authorized official phone:** (914) 649-0355

## Contact information

- **Practice address:** 1523 RICHMOND RD, STATEN ISLAND, NY 10304-2313
- **Practice address phone:** (914) 649-0355
- **Practice address fax:** (845) 278-7987
- **Mailing address:** 1523 RICHMOND RD, STATEN ISLAND, NY 10304-2313
- **Mailing address phone:** (914) 649-0355
- **Mailing address fax:** (845) 278-7987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X0008391 | NY | Yes |

## Other

- **Enumeration date:** 08/04/2008
- **Last updated:** 04/30/2024