Provider Demographics
NPI:1053518076
Name:AMATO, VINCENT (DC)
Entity type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:
Last Name:AMATO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75A NEW BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-2238
Mailing Address - Country:US
Mailing Address - Phone:732-826-7900
Mailing Address - Fax:732-826-7903
Practice Address - Street 1:75A NEW BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-2238
Practice Address - Country:US
Practice Address - Phone:732-826-7900
Practice Address - Fax:732-826-7903
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005638111N00000X
NJ38MC00478100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor