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Individual

DR. VINCENT NOTABARTOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC, CCSP

Contact information

Practice address
945 HUGUENOT AVE, STATEN ISLAND, NY 10312-4312
(718) 317-0925
(718) 317-1533
Mailing address
945 HUGUENOT AVE, STATEN ISLAND, NY 10312-4312
(718) 317-0925
(718) 317-1533

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
38MC00489400
NJ
111NS0005X
Sports Physician Chiropractor
AJ009411
PA
111NS0005X
Sports Physician Chiropractor
Primary
X007822
NY

Other

Enumeration date
04/05/2007
Last updated
07/08/2007
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