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 34 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