# OCEANSIDE CHIROPRACTIC

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

## Provider details

- **NPI number:** 1750560371
- **Authorized official:** DR. MARIO FUNICELLI D.C. (OWNER)
- **Authorized official phone:** 77189487811

## Contact information

- **Practice address:** 4280 HYLAN BLVD, STATEN ISLAND, NY 10312-6526
- **Practice address phone:** (718) 948-7811
- **Practice address fax:** (718) 948-1018
- **Mailing address:** 4280 HYLAN BLVD, STATEN ISLAND, NY 10312-6526
- **Mailing address phone:** (718) 948-7811
- **Mailing address fax:** (718) 948-1018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | X007427 | NY | Yes |

## Other

- **Enumeration date:** 10/31/2007
- **Last updated:** 10/31/2007