Individual
DR. LOUIS H VASTOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
200 MIDDLE NECK RD, GREAT NECK, NY 11021-1107
(718) 300-8957
Mailing address
15637 100TH ST, HOWARD BEACH, NY 11414-3238
(718) 300-8957
(718) 374-3203
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
002103
NY
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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