Provider Demographics
NPI:1467054460
Name:DR. BRANDON SARACENO P.C.
Entity Type:Organization
Organization Name:DR. BRANDON SARACENO P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:JEFFREY
Authorized Official - Last Name:SARACENO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:814-746-2836
Mailing Address - Street 1:2615 W. 22ND ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-2910
Mailing Address - Country:US
Mailing Address - Phone:814-746-2836
Mailing Address - Fax:
Practice Address - Street 1:3343 W. 38TH ST.
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-4203
Practice Address - Country:US
Practice Address - Phone:814-746-2836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty