Provider Demographics
NPI:1356050926
Name:DR ARIANNA IANNUCCILLI DC., INC
Entity type:Organization
Organization Name:DR ARIANNA IANNUCCILLI DC., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:IANNUCCILLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-421-1125
Mailing Address - Street 1:560 ELMWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02907-1836
Mailing Address - Country:US
Mailing Address - Phone:401-421-1125
Mailing Address - Fax:401-421-3951
Practice Address - Street 1:560 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02907-1836
Practice Address - Country:US
Practice Address - Phone:401-421-1125
Practice Address - Fax:401-421-3951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty