Provider Demographics
NPI:1386710846
Name:SMALDONE, DAVID ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ANTHONY
Last Name:SMALDONE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:SMALDONE
Other - Middle Name:
Other - Last Name:CHIROPRACTIC PLLC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:GROUPNPI: 1336606680
Mailing Address - Street 1:502 ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-2141
Mailing Address - Country:US
Mailing Address - Phone:845-338-8404
Mailing Address - Fax:845-201-0124
Practice Address - Street 1:502 ALBANY AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-2141
Practice Address - Country:US
Practice Address - Phone:845-338-8404
Practice Address - Fax:845-201-0124
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2023-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011297111NP0017X, 111NS0005X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor
No111NP0017XChiropractic ProvidersChiropractorPediatric ChiropractorGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports Physician