Provider Demographics
NPI:1942391305
Name:FABRIZIO, ADRIENNE LUCIA (DC)
Entity Type:Individual
Prefix:DR
First Name:ADRIENNE
Middle Name:LUCIA
Last Name:FABRIZIO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:686 STONELEIGH AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-3932
Mailing Address - Country:US
Mailing Address - Phone:845-278-9300
Mailing Address - Fax:845-278-8702
Practice Address - Street 1:686 STONELEIGH AVE STE 1
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-3932
Practice Address - Country:US
Practice Address - Phone:845-278-9300
Practice Address - Fax:845-278-8702
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2020-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYXO-3731-9111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY009453-99OtherGHI
NY13-3374290OtherTAX ID
NYCO3731-9OtherWORKERS COMPENSATION