Organization
SMALDONE CHIROPRACTIC PLLC
Active
Other names
Smaldone Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A SMALDONE DC (OWNER/PROVIDER)
(845) 750-6913
Entity
Organization
Contact information
Practice address
12 JOHN ST, KINGSTON, NY 12401-3810
(845) 750-6913
(845) 750-6510
Mailing address
12 JOHN ST, KINGSTON, NY 12401-3810
(845) 750-6913
(845) 750-6510
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12274847
CAQH
NY
01
—
C11297-1
WORKER COMP
NY
01
—
X011297
LICENSE #
NY
Enumeration date
02/22/2019
Last updated
02/22/2019
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