Provider Demographics
NPI:1457549255
Name:PARRINO, TRACY (DC)
Entity Type:Individual
Prefix:DR
First Name:TRACY
Middle Name:
Last Name:PARRINO
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 1:201 DOLSON AVE
Mailing Address - Street 2:STE H100
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6572
Mailing Address - Country:US
Mailing Address - Phone:718-434-0088
Mailing Address - Fax:718-434-0899
Practice Address - Street 1:201 DOLSON AVE
Practice Address - Street 2:STE H100
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6572
Practice Address - Country:US
Practice Address - Phone:718-434-0088
Practice Address - Fax:718-434-0899
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2020-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008758-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor