Provider Demographics
NPI:1275507329
Name:MORRONE, CRISTINO M (DC)
Entity Type:Individual
Prefix:DR
First Name:CRISTINO
Middle Name:M
Last Name:MORRONE
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 1:200 W 1ST AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH WILLIAMSPORT
Mailing Address - State:PA
Mailing Address - Zip Code:17702-7366
Mailing Address - Country:US
Mailing Address - Phone:570-327-0212
Mailing Address - Fax:570-327-1233
Practice Address - Street 1:508B W SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:SOUTH WILLIAMSPORT
Practice Address - State:PA
Practice Address - Zip Code:17702-7223
Practice Address - Country:US
Practice Address - Phone:570-327-0212
Practice Address - Fax:570-327-1233
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-15
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007178L111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2497405OtherAETNA
PA540197OtherBLUE CROSS/ BLUE SHIELD
PA800544OtherFIRST PRIORITY HEALTH
PA540197OtherBLUE CROSS/ BLUE SHIELD
PA2497405OtherAETNA