Provider Demographics
NPI:1952372443
Name:SPARANO, ALICIA MICHELE (DC)
Entity type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:MICHELE
Last Name:SPARANO
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 1:17 1ST ST
Mailing Address - Street 2:
Mailing Address - City:ALPLAUS
Mailing Address - State:NY
Mailing Address - Zip Code:12008-1025
Mailing Address - Country:US
Mailing Address - Phone:518-399-6311
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
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007605111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY56680CMedicare ID - Type UnspecifiedCHIROPRACTOR