Provider Demographics
NPI:1619050226
Name:CARLONI, GUIDO (DC)
Entity Type:Individual
Prefix:DR
First Name:GUIDO
Middle Name:
Last Name:CARLONI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:GUY
Other - Middle Name:
Other - Last Name:CARLONI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:5 BRITTLE LN
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-6122
Mailing Address - Country:US
Mailing Address - Phone:516-965-2732
Mailing Address - Fax:
Practice Address - Street 1:146 OLD COUNTRY RD STE 101
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4315
Practice Address - Country:US
Practice Address - Phone:516-741-5804
Practice Address - Fax:516-741-5806
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010743-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYV01728Medicare UPIN
NYX7M47XAXQ1Medicare PIN