Provider Demographics
NPI:1184863441
Name:INZERILLO, CATHERINE BRUCKNER (DC, ATC)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:BRUCKNER
Last Name:INZERILLO
Suffix:
Gender:F
Credentials:DC, ATC
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:REBECCA
Other - Last Name:BRUCKNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:821 PRE EMPTION RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GENEVA
Mailing Address - State:NY
Mailing Address - Zip Code:14456-2061
Mailing Address - Country:US
Mailing Address - Phone:631-788-0811
Mailing Address - Fax:585-398-8548
Practice Address - Street 1:821 PRE EMPTION RD
Practice Address - Street 2:SUITE 200
Practice Address - City:GENEVA
Practice Address - State:NY
Practice Address - Zip Code:14456-2061
Practice Address - Country:US
Practice Address - Phone:631-788-0811
Practice Address - Fax:585-398-8548
Is Sole Proprietor?:No
Enumeration Date:2009-02-10
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX7420111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor