Provider Demographics
NPI:1821113606
Name:RUFRANO, SHIRLEY ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:SHIRLEY
Middle Name:ANN
Last Name:RUFRANO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SHIRLEY
Other - Middle Name:ANN
Other - Last Name:EATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:531 SOUTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:ONEONTA
Mailing Address - State:NY
Mailing Address - Zip Code:13820-3211
Mailing Address - Country:US
Mailing Address - Phone:607-433-9661
Mailing Address - Fax:
Practice Address - Street 1:531 SOUTHSIDE DR
Practice Address - Street 2:
Practice Address - City:ONEONTA
Practice Address - State:NY
Practice Address - Zip Code:13820-3211
Practice Address - Country:US
Practice Address - Phone:607-433-9661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009417111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCC0161Medicare ID - Type UnspecifiedMEDICARE CHIROPRACTIC #