Provider Demographics
NPI:1154404366
Name:COVINO, DONALD PAUL (DC)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:PAUL
Last Name:COVINO
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 1:53 MEAD ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:N TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-4411
Mailing Address - Country:US
Mailing Address - Phone:716-695-0071
Mailing Address - Fax:716-695-0071
Practice Address - Street 1:53 MEAD ST
Practice Address - Street 2:SUITE 2
Practice Address - City:N TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-4411
Practice Address - Country:US
Practice Address - Phone:716-695-0071
Practice Address - Fax:716-695-0071
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY6192-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY16-1377857-01OtherBC/BS/PRISM
NY6192-1OtherNY STATE LIC. NUMBER
NY8809363OtherINDEPENDENT HEALTH
NYCO-6192-1BOtherWORKERS COMPENSATION
NY16-1377857-01OtherBC/BS/PRISM
NYCO-6192-1BOtherWORKERS COMPENSATION