Provider Demographics
NPI:1457521031
Name:SIANO, ANTHONY PATRICK JR (DC)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:PATRICK
Last Name:SIANO
Suffix:JR
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 1:1852 GERRITSEN AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-2644
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 E 115TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-1178
Practice Address - Country:US
Practice Address - Phone:646-896-1136
Practice Address - Fax:917-634-4619
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX-7261-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC07261-3BOtherNEW YORK WORKER'S COMPENSATION