National Provider Identifier
Stephen Tyler Divito, D.C.
Stephen Tyler Divito, D.C. is listed in the NPPES registry with a primary specialty of Chiropractor in Rochester, NY and a listed phone number of (585) 544-4077.
Profile Overview
- NPI
- 1972562429
- Provider Type
- Individual
- Primary Specialty
- Chiropractor
- Enumeration Date
- March 22, 2006
- Last Updated
- May 07, 2008
Practice Location
- 572 Titus Ave
- Suite C
- Rochester, NY 14617-3519
Phone: (585) 544-4077
Specialties
- Chiropractor (111N00000X)
Full Record
- NPI
- 1972562429
- Entity Type
- Individual
- Last Name
- Divito
- First Name
- Stephen
- Middle Name
- Tyler
- Name Prefix
- Dr.
- Credential
- D.C.
- Mailing Street Address
- 572 Titus Ave
- Mailing Address Line 2
- Suite C
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14617-3519
- Mailing Country
- US
- Mailing Phone
- (585) 544-4077
- Mailing Fax
- (585) 544-4070
- Practice Street Address
- 572 Titus Ave
- Practice Address Line 2
- Suite C
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14617-3519
- Practice Country
- US
- Practice Phone
- (585) 544-4077
- Practice Fax
- (585) 544-4070
- Enumeration Date
- March 22, 2006
- Last Updated
- May 07, 2008
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Chiropractor (111N00000X)
- Other Identifiers
- 16-1562329 (NY, Tax Id No)