Organization
CHIROPRACTIC SPORT JOINT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO FUNICELLI DC (OWNER)
(718) 477-9300
Entity
Organization
Contact information
Practice address
1931 RICHMOND AVE, STATEN ISLAND, NY 10314-3889
(718) 477-9300
(718) 477-9301
Mailing address
1931 RICHMOND AVE, STATEN ISLAND, NY 10314-3889
(718) 477-9300
(718) 477-9301
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
X007427
NY
Other
Enumeration date
10/19/2011
Last updated
08/29/2014
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