Provider Demographics
NPI:1982799151
Name:SANFILIPO, FRED L (DC)
Entity type:Individual
Prefix:DR
First Name:FRED
Middle Name:L
Last Name:SANFILIPO
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 1:2755 BUFFALO RD
Mailing Address - Street 2:SUITE D
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-1337
Mailing Address - Country:US
Mailing Address - Phone:585-426-1576
Mailing Address - Fax:585-426-7888
Practice Address - Street 1:2755 BUFFALO RD
Practice Address - Street 2:SUITE D
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-1337
Practice Address - Country:US
Practice Address - Phone:585-426-1576
Practice Address - Fax:585-426-7888
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30058111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPO10003005OtherBLUE CROSS BLUE SHIELD
PO10003005OtherBLUE CHOICE
NY101859ANOtherPREF CARE
5173481OtherAETNA
5173481OtherAETNA
T26168Medicare UPIN