Organization
JOHN F. DIMITRI, DC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN F DIMITRI D.C. (OWNER)
(631) 224-7474
Entity
Organization
Contact information
Practice address
11 CARLETON AVE, EAST ISLIP, NY 11730-2108
(631) 224-7474
(631) 224-8940
Mailing address
11 CARLETON AVE, EAST ISLIP, NY 11730-2108
(631) 224-7474
(631) 224-8940
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XBWLD1
MEDICARE GROUP ID #
NY
Enumeration date
07/10/2007
Last updated
07/10/2007
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