Provider Demographics
NPI:1821298720
Name:DEIGNAN, ANN C (DC)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:C
Last Name:DEIGNAN
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 1:82 CLOVE RD
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-1605
Mailing Address - Country:US
Mailing Address - Phone:914-235-8318
Mailing Address - Fax:914-235-8318
Practice Address - Street 1:82 CLOVE RD
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-1605
Practice Address - Country:US
Practice Address - Phone:914-235-8318
Practice Address - Fax:914-235-8318
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-19
Last Update Date:2007-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005479-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX29661Medicare PIN