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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. VINCENT NOTABARTOLO, DC, CCSP

Active Sole Proprietor

DR. VINCENT NOTABARTOLO, DC, CCSP is a Sports Physician (Chiropractor) healthcare provider located in STATEN ISLAND, New York. NPI 1104948553 is currently active in the NPPES registry. Verify at CMS.

Sports Physician (Chiropractor) · STATEN ISLAND, NY

Registration Details

NPI Number
1104948553
Provider Type
Individual
Gender
Male
NPI Issued
Apr 5, 2007 (19.176924735349 yrs)
Last Updated
Jul 8, 2007
Licenses
X007822 (NY)
38MC00489400 (NJ)
AJ009411 (PA)
Sole Proprietor
Yes

Practice Information

Address
945 HUGUENOT AVE
STATEN ISLAND, NY, 103124312
Browse NY providers · Browse ZIP 10312
Phone
7183170925
Fax
7183171533
Primary Specialty
Sports Physician (Chiropractor)
111NS0005X

Other Sports Physician (Chiropractor) Providers in STATEN ISLAND, NY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.