Provider Demographics
NPI:1578530572
Name:PIRRO-LOMBARDI, ELAINA A (DC)
Entity Type:Individual
Prefix:
First Name:ELAINA
Middle Name:A
Last Name:PIRRO-LOMBARDI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5112 WEST TAFT ROAD
Mailing Address - Street 2:STE 1B
Mailing Address - City:LIVERPOOL
Mailing Address - State:NY
Mailing Address - Zip Code:13088
Mailing Address - Country:US
Mailing Address - Phone:315-452-9420
Mailing Address - Fax:315-452-9132
Practice Address - Street 1:5112 WEST TAFT ROAD
Practice Address - Street 2:STE 1B
Practice Address - City:LIVERPOOL
Practice Address - State:NY
Practice Address - Zip Code:13088
Practice Address - Country:US
Practice Address - Phone:315-452-9420
Practice Address - Fax:315-452-9132
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010016111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U85012Medicare UPIN
NYCC5670Medicare ID - Type Unspecified