Provider Demographics
NPI:1740381391
Name:TARANTO, SAKI YAMANI (DC)
Entity Type:Individual
Prefix:DR
First Name:SAKI
Middle Name:YAMANI
Last Name:TARANTO
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 1:426 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15902-2511
Mailing Address - Country:US
Mailing Address - Phone:814-254-4868
Mailing Address - Fax:
Practice Address - Street 1:426 PARK AVE
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15902-2511
Practice Address - Country:US
Practice Address - Phone:814-254-4868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009574111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1017882660001Medicaid
PA108677V9NMedicare PIN
PA1017882660001Medicaid