National Provider Identifier
Michael Anthony Persoleo Jr., D.C.
Michael Anthony Persoleo Jr., D.C. is listed in the NPPES registry with a primary specialty of Nutrition Chiropractor in Ithaca, NY and a listed phone number of (607) 272-0006.
Profile Overview
- NPI
- 1629348941
- Provider Type
- Individual
- Primary Specialty
- Nutrition Chiropractor
- Enumeration Date
- January 03, 2012
- Last Updated
- January 03, 2012
Practice Location
- 208 N Meadow St
- Ithaca, NY 14850-4027
Phone: (607) 272-0006
Mailing Address
- 3A2 Candlewyck Park
- Ithaca, NY 14850-1320
Specialties
- Nutrition Chiropractor (111NN1001X)
Full Record
- NPI
- 1629348941
- Entity Type
- Individual
- Last Name
- Persoleo
- First Name
- Michael
- Middle Name
- Anthony
- Name Prefix
- Dr.
- Name Suffix
- Jr.
- Credential
- D.C.
- Mailing Street Address
- 3A2 Candlewyck Park
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-1320
- Mailing Country
- US
- Mailing Phone
- (607) 272-0006
- Practice Street Address
- 208 N Meadow St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4027
- Practice Country
- US
- Practice Phone
- (607) 272-0006
- Enumeration Date
- January 03, 2012
- Last Updated
- January 03, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nutrition Chiropractor (111NN1001X)