Provider Demographics
NPI:1033249628
Name:VECCHIONE, CATHERINE (DC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:
Last Name:VECCHIONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2237 BENEFIT ST
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-2260
Mailing Address - Country:US
Mailing Address - Phone:516-379-8715
Mailing Address - Fax:516-223-0135
Practice Address - Street 1:2237 BENEFIT ST
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-2260
Practice Address - Country:US
Practice Address - Phone:516-379-8715
Practice Address - Fax:516-223-0135
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007655-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX007655-1OtherNY- CHIROPRACTIC
NYX007655-1OtherNY- CHIROPRACTIC
NYX09971Medicare ID - Type UnspecifiedMEDICARE