Individual ProviderNatale F SpataChiropractorChiropractic ProvidersPractice Address74 Southaven Ave, Suite B, Medford, NY 11763-3746(631) 758-0333PECOS EnrollmentBased on the most recent information from CMS, provider Natale F Spata does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1669537932Provider TypeIndividualFull NameSpata, Natale FTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date12/26/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address74 Southaven Ave, Suite B, Medford, NY 11763-3746Phone(631) 758-0333Fax(631) 758-0334Mailing LocationMailing Address74 Southaven Ave, Suite B, Medford, NY 11763-3746Phone(631) 758-0333Fax(631) 758-0334Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseX4436New YorkProvider IdentifiersIDDescriptionIssuerIDX4436DescriptionOtherIssuerLICENSENew York