Provider Demographics
NPI:1255537676
Name:SPARANO CHIROPRACTIC ASSOCIATES
Entity type:Organization
Organization Name:SPARANO CHIROPRACTIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER,CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:SPARANO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-371-2176
Mailing Address - Street 1:PO BOX 1467
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-0806
Mailing Address - Country:US
Mailing Address - Phone:518-371-2176
Mailing Address - Fax:518-373-9845
Practice Address - Street 1:990 ROUTE 146
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3617
Practice Address - Country:US
Practice Address - Phone:518-371-2176
Practice Address - Fax:518-373-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007609-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56680AMedicare ID - Type UnspecifiedSPARANO CHIROPRACTIC ASSO