Provider Demographics
NPI:1902387152
Name:MARONE, CORY (DC)
Entity Type:Individual
Prefix:DR
First Name:CORY
Middle Name:
Last Name:MARONE
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 1:3846 UNION ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NY
Mailing Address - Zip Code:14505-9651
Mailing Address - Country:US
Mailing Address - Phone:315-576-3646
Mailing Address - Fax:
Practice Address - Street 1:3846 UNION ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NY
Practice Address - Zip Code:14505-9651
Practice Address - Country:US
Practice Address - Phone:315-576-3646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-26
Last Update Date:2018-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013003-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor