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Individual

DR. DAVID ROBERT IONTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
121 MAIN ST, STE 1, ESPERANCE, NY 12066
(518) 875-6420
(518) 875-6358
Mailing address
121 MAIN ST, STE 1, ESPERANCE, NY 12066
(518) 875-6420
(518) 875-6358

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009411
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10034866
CDPHP
NY
01
98L110
MVP LANDMARK
NY
01
X1F80
EMPIRE BLUE CROSS
NY
Enumeration date
08/13/2006
Last updated
07/08/2007
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