Provider Demographics
NPI:1942411988
Name:SICIGNANO, ALLAN (DC)
Entity Type:Individual
Prefix:DR
First Name:ALLAN
Middle Name:
Last Name:SICIGNANO
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 1:21 SPRING ST
Mailing Address - Street 2:SPRING STREET CHIROPRACTIC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10012-4136
Mailing Address - Country:US
Mailing Address - Phone:212-343-9218
Mailing Address - Fax:
Practice Address - Street 1:21 SPRING ST
Practice Address - Street 2:SPRING STREET CHIROPRACTIC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10012-4136
Practice Address - Country:US
Practice Address - Phone:212-343-9218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005463-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor