Provider Demographics
NPI:1184754665
Name:SINATRA, VINCENZO (DC)
Entity type:Individual
Prefix:DR
First Name:VINCENZO
Middle Name:
Last Name:SINATRA
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:PO BOX 5328
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89450-5328
Mailing Address - Country:US
Mailing Address - Phone:775-413-9287
Mailing Address - Fax:
Practice Address - Street 1:1367 CARINTHIA CT
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-7914
Practice Address - Country:US
Practice Address - Phone:775-413-9287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH12103111N00000X
NJ38MC00601900111N00000X
NJ25MZ00012300171100000X
NVB01247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1649595521OtherNEW NPI NUMBER
NJ238521OtherMEDICAR PTAN
NJ061881OtherMEDICARE PTAN