MEDICARE: ANTHONY P SALADINO & DEBRA LUPO PTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X005369	NY

General Provider Information

NPI Number	:	1689818726
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY P SALADINO & DEBRA LUPO PTR

Provider Business Mailing Address
First Line	:	580 MIDDLE COUNTRY RD
Second Line	:
City	:	MIDDLE ISLAND
State	:	NY
Zip	:	11953-2543
Country	:	US
Telephone Number	:	631-924-3220
Fax Number	:	631-924-3221

Provider Business Practice Location Address
First Line	:	580 MIDDLE COUNTRY RD
Second Line	:
City	:	MIDDLE ISLAND
State	:	NY
Zip	:	11953-2543
Country	:	US
Telephone Number	:	631-924-3220
Fax Number	:	631-924-3221

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ANTHONY P SALADINO
Credential	:	D.C.
Telephone Number	:	631-924-3220

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	04/20/2009

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