Individual
DR. JACK A DIPPOLITO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
71 VALENTINE AVE, GLENCOVE, NY 11542
(845) 624-3909
(845) 624-3909
Mailing address
71 VALENTINE AVE, GLENCOVE, NY 11542
(845) 624-3909
(845) 624-3909
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X1732
NY
Other
Enumeration date
08/15/2005
Last updated
07/08/2007
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