Doctor Name: | NICHOLAS J DAMATO |
NPI Number: | 1942528450 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 001822 |
Business Practice Address: | 730 Hebron Avenue Suite 4 Glastonbury, CT - 06033 |
Business Phone Number: | 8604104488 |
Business Fax Number: | 8604104492 |
Mailing Address: | 730 Hebron Ave, Suite 4 GLASTONBURY |
State: | CT |
Postal Code: | 06033 |
Phone Number: | 8604104488 |
Fax Number: | 8604104492 |
NPI Enumeration Date: | 05/07/2010 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 001822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
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. |