Individual
MR. ANTONIO G DESPOSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
290 SEGUINE AVENUE, STATEN ISLAND, NY 10309
(718) 356-9469
(718) 356-8139
Mailing address
290 SEGUINE AVENUE, STATEN ISLAND, NY 10309
(718) 356-9469
(718) 356-8139
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0089091
NY
Other
Enumeration date
01/30/2007
Last updated
10/05/2011
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