Marc Avvento DC PC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

X011602-1 Issued in NY

Legal business name

MARC AVVENTO DC PC

Practice address

691 Route 25a
C/O the Body Shop
Miller Place, NY 11764-2643

Phone

(631) 744-2114

Fax

(631) 744-2114

NPI assigned

May 8, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Avvento, D.C.

Title

Presdent/ Clinic Director

Phone

(631) 744-2114

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1487888251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "691 ROUTE 25A",
            "address_2": "C/O THE BODY SHOP",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642643",
            "telephone_number": "631-744-2114",
            "fax_number": "631-744-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 ROUTE 25A",
            "address_2": "C/O THE BODY SHOP",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117642643",
            "telephone_number": "631-744-2114",
            "fax_number": "631-744-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC AVVENTO DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "AVVENTO",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESDENT/ CLINIC DIRECTOR",
        "authorized_official_telephone_number": "631-744-2114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "X011602-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Reeves Mahoney, MD
• Michelle Manchester
• Stacey Manzi, MSED.
• Joelle T. Manzo, LCSW
• Stacey Lee Marando, LMSW
• Victoria Margulies
• Kimberly Ann Marino, MA, CCC, SLP
• Mark Wasserman, MD
• Marian Margaretta Marshall, O.T.R./L.
• Elizabeth Martin

• Health Maintenance Organization in Miller Place, NY
• Providers in Miller Place, NY by specialty
• Health Maintenance Organization in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.