Provider Demographics
NPI:1184962433
Name:PIACENTE, CARIN MARIE (DC)
Entity type:Individual
Prefix:MS
First Name:CARIN
Middle Name:MARIE
Last Name:PIACENTE
Suffix:
Gender:F
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 492
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-0492
Mailing Address - Country:US
Mailing Address - Phone:914-941-1141
Mailing Address - Fax:
Practice Address - Street 1:4 DEARFIELD DR STE 106
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5351
Practice Address - Country:US
Practice Address - Phone:203-941-0577
Practice Address - Fax:203-942-0577
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-22
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002136111N00000X
NY70012207111N00000X, 111NN1001X, 111NR0400X, 111NS0005X, 111NX0800X
NY012207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition
No111NR0400XChiropractic ProvidersChiropractorRehabilitation
No111NS0005XChiropractic ProvidersChiropractorSports Physician
No111NX0800XChiropractic ProvidersChiropractorOrthopedic