Provider Demographics
NPI:1225239353
Name:CALIENDO, ANTHONY JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:CALIENDO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 N WELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3706
Mailing Address - Country:US
Mailing Address - Phone:631-226-4650
Mailing Address - Fax:631-991-4490
Practice Address - Street 1:239 N WELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3706
Practice Address - Country:US
Practice Address - Phone:631-226-4650
Practice Address - Fax:631-991-4490
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX4446111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400015090OtherPTAN
NYA400015090OtherPTAN