Individual
DR. LAURENE TRICIA IAMMATTEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
1332 FOREST AVE, STATEN ISLAND, NY 10302-2002
(718) 442-8813
(718) 876-0158
Mailing address
1332 FOREST AVE, STATEN ISLAND, NY 10302-2002
(718) 442-8813
(718) 876-0158
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X008087-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01751091
—
NY
Enumeration date
10/06/2006
Last updated
07/08/2007
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