Organization
MICHAEL J. DIMAIO D.C., P.C.
Active
Other names
betterisland chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN DIMAIO CDC.C. (OWNER/PRESIDENT)
(631) 909-1700
Entity
Organization
Contact information
Practice address
306 WADING RIVER RD, MANORVILLE, NY 11949-3444
(631) 909-1700
Mailing address
306 WADING RIVER RD, MANORVILLE, NY 11949-3444
(631) 909-1700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X055961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801079223
INDIVIDUAL NPI NUMBER
NY
01
—
X055961
PTAN
NY
Enumeration date
03/27/2015
Last updated
03/27/2015
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