Provider Demographics
NPI:1407060536
Name:CILIENTO, STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:CILIENTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:MONEYPENNY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:103 BREWSTER DR
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-9589
Mailing Address - Country:US
Mailing Address - Phone:717-391-6813
Mailing Address - Fax:
Practice Address - Street 1:1050 COLUMBIA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3156
Practice Address - Country:US
Practice Address - Phone:717-392-7518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC008867111N00000X
PADC007301L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMO021230Medicare ID - Type Unspecified
PA060455Medicare ID - Type Unspecified