Richard A Mabanta | Huntington, NY • PECOS Search

Richard A Mabanta

Chiropractor

Chiropractic Providers

70 Main St, Huntington, NY 11743-6966

PECOS Enrollment

Based on the most recent information from CMS, provider Richard A Mabanta does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1447378120
Provider Type
Individual
Full Name
Mabanta, Richard A
Title
Dr.
Credential
D.C.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/27/2007
Last Updated
11/28/2011

Contact Information

Practice Location

70 Main St, Huntington, NY 11743-6966

(631) 427-5888

Mailing Location

70 Main St, Huntington, NY 11743-6966

(631) 427-5888

Provider Taxonomies

Code	Description	License
Code 111N00000X Primary	Description Chiropractor Chiropractic Providers	License 005115 New York