Provider Demographics
NPI:1366696270
Name:LUKE PINATELLO D.C., P.C.
Entity type:Organization
Organization Name:LUKE PINATELLO D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR / CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:PINATELLO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:914-743-1240
Mailing Address - Street 1:12A DARES LN
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1543
Mailing Address - Country:US
Mailing Address - Phone:914-743-1240
Mailing Address - Fax:
Practice Address - Street 1:1853 COMMERCE ST
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4432
Practice Address - Country:US
Practice Address - Phone:914-743-1240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011601-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty