Provider Demographics
NPI:1760563969
Name:CATANIA, ADRIEN ACE (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIEN
Middle Name:ACE
Last Name:CATANIA
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 1:3191 COLE RD
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:NY
Mailing Address - Zip Code:13334-2910
Mailing Address - Country:US
Mailing Address - Phone:315-684-7866
Mailing Address - Fax:
Practice Address - Street 1:3191 COLE RD
Practice Address - Street 2:
Practice Address - City:EATON
Practice Address - State:NY
Practice Address - Zip Code:13334-2910
Practice Address - Country:US
Practice Address - Phone:315-684-7866
Practice Address - Fax:315-684-7899
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010632111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02583668Medicaid
NYBA0822Medicare ID - Type Unspecified
NY02583668Medicaid