Dagostino, Dominick Anthony

Dagostino, Dominick Anthony is an sole proprietor health care provider with primary practice located at 96 Manner Ave , Garfield NJ 07026-1418. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dagostino, Dominick Anthony can be contacted via phone (973) 772-0099.

Contact Information

Primary practice address
96 Manner Ave Garfield NJ 07026-1418
Phone: (973) 772-0099
Fax: (973) 772-0099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 38MC00541800 New Jersey
Chiropractic Providers / Sports Physician 111NS0005X X009210-0 New York

Profile Details

NPI number 1972670271
LBN Legal business name Dagostino, Dominick Anthony
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Mar 17th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972670271 NPPES
New Jersey MEDICAID 7971907
New Jersey Other 22-365-5167

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