Individual
DR. NICHOLAS DESTITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
143 NORTH WASHINGTON ST, ROME, NY 13440-3442
(315) 339-2422
(315) 733-5024
Mailing address
143 N WASHINGTON STREET, ROME, NY 13440
(315) 339-2422
(315) 733-5024
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012944-1
NY
Other
Enumeration date
02/11/2016
Last updated
04/28/2017
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