Provider Demographics
NPI:1851496327
Name:LENDINO, RICHARD G (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:G
Last Name:LENDINO
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 1:120 W OLD COUNTRY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4084
Mailing Address - Country:US
Mailing Address - Phone:516-827-1987
Mailing Address - Fax:516-827-1961
Practice Address - Street 1:120 W OLD COUNTRY RD
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4084
Practice Address - Country:US
Practice Address - Phone:516-827-1987
Practice Address - Fax:516-827-1961
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007572111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX68032Medicare ID - Type UnspecifiedPROVIDER I.D.
NYU52742Medicare UPIN