Provider Demographics
NPI:1790705366
Name:SCIORTINO, SALVATORE ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:SALVATORE
Middle Name:ANTHONY
Last Name:SCIORTINO
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 1:101 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-3300
Mailing Address - Country:US
Mailing Address - Phone:516-398-9493
Mailing Address - Fax:516-398-9493
Practice Address - Street 1:101 HICKORY LN
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-3300
Practice Address - Country:US
Practice Address - Phone:516-398-9493
Practice Address - Fax:516-398-9493
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006241111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX4472-1Medicare ID - Type Unspecified