Provider Demographics
NPI:1316011943
Name:ORLANDO, WILLIAM ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:ORLANDO
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 1:14 ROMEO AVE
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-2600
Mailing Address - Country:US
Mailing Address - Phone:315-769-1620
Mailing Address - Fax:315-769-1615
Practice Address - Street 1:14 ROMEO AVE
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-2600
Practice Address - Country:US
Practice Address - Phone:315-769-1620
Practice Address - Fax:315-769-1615
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2010-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007289111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU38603Medicare UPIN
NY55362BMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER