Provider Demographics
NPI:1619074069
Name:CIATTO, PAUL C (DC)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:C
Last Name:CIATTO
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 1:15 APPLE BLOSSOM LN
Mailing Address - Street 2:
Mailing Address - City:NEW FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06812-2608
Mailing Address - Country:US
Mailing Address - Phone:203-312-9770
Mailing Address - Fax:
Practice Address - Street 1:1620 TOWNE CENTER - RTE.22
Practice Address - Street 2:BREWSTER CHIROPRACTIC CARE
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509
Practice Address - Country:US
Practice Address - Phone:845-279-1135
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXO10705111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor