Individual
DR. MARIO E INTRONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3705 RICHMOND AVE, STATEN ISLAND, NY 10312-3826
(718) 356-5560
(718) 966-4766
Mailing address
3705 RICHMOND AVE, STATEN ISLAND, NY 10312-3826
(718) 356-5560
(718) 966-4766
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0008391
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134034104
FEDERAL TAX ID
NY
Enumeration date
10/27/2006
Last updated
07/29/2008
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