Provider Demographics
NPI:1841560612
Name:PERRONE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:PERRONE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRONE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-628-3805
Mailing Address - Street 1:925 ROUTE 6
Mailing Address - Street 2:
Mailing Address - City:MAHOPAC
Mailing Address - State:NY
Mailing Address - Zip Code:10541-1772
Mailing Address - Country:US
Mailing Address - Phone:845-628-3805
Mailing Address - Fax:
Practice Address - Street 1:925 ROUTE 6
Practice Address - Street 2:
Practice Address - City:MAHOPAC
Practice Address - State:NY
Practice Address - Zip Code:10541-1772
Practice Address - Country:US
Practice Address - Phone:845-628-3805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007905111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty