Doctor Name: | DR. EDWARD MARIO COVELLI |
NPI Number: | 1427058056 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | X6750 |
Business Practice Address: | 91 Gleneida Ave Carmel, NY - 105121222 |
Business Phone Number: | 8452287000 |
Business Fax Number: | 8452285485 |
Mailing Address: | 231 Ressique Rd, STORMVILLE |
State: | NY |
Postal Code: | 125825734 |
Phone Number: | 8458785094 |
Fax Number: | 8018380468 |
NPI Enumeration Date: | 07/26/2005 |
NPI Last Update Date: | 11/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/21/2006 |
NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | X6750 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |