Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mario Funicelli

Individual provider Neurology Chiropractor · NPI 1790810232

Mario Funicelli is a Neurology Chiropractor in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
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Practice location Address checks out

1931 Richmond Ave
Staten Island, NY 10314-3889
Phone: (718) 477-9300
Fax: (718) 477-9301
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Chiropractor (primary) Taxonomy 111NN0400X · Licence X007427-1 (NY)

Record details

NPI number1790810232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 23, 2007
Last updated in NPPESAugust 29, 2014

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