Individual
DR. JEROME JOSEPH ANTONINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15705 CROSSBAY BLVD, HOWARD BEACH, NY 11414-2748
(718) 845-5252
(718) 845-6464
Mailing address
9707 158TH AVE, HOWARD BEACH, NY 11414-3247
(718) 835-7102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X0045148
NY
Other
Enumeration date
11/21/2006
Last updated
07/02/2013
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