Provider Demographics
NPI:1689818726
Name:ANTHONY P SALADINO & DEBRA LUPO PTR
Entity Type:Organization
Organization Name:ANTHONY P SALADINO & DEBRA LUPO PTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:SALADINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:631-924-3220
Mailing Address - Street 1:580 MIDDLE COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLE ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:11953-2543
Mailing Address - Country:US
Mailing Address - Phone:631-924-3220
Mailing Address - Fax:631-924-3221
Practice Address - Street 1:580 MIDDLE COUNTRY RD
Practice Address - Street 2:
Practice Address - City:MIDDLE ISLAND
Practice Address - State:NY
Practice Address - Zip Code:11953-2543
Practice Address - Country:US
Practice Address - Phone:631-924-3220
Practice Address - Fax:631-924-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005369111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty