Healthcare Provider Details

I. General information

NPI: 1912931288
Provider Name (Legal Business Name): CHERYL M. SCHIANO D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 04/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 SHERMAN HILL RD BUILDING A, SUITE 104B
WOODBURY CT
06798-3648
US

IV. Provider business mailing address

51 SHERMAN HILL RD BUILDING A, SUITE 104B
WOODBURY CT
06798-3648
US

V. Phone/Fax

Practice location:
  • Phone: 203-405-6505
  • Fax: 203-405-6505
Mailing address:
  • Phone: 203-405-6505
  • Fax: 203-405-6505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number000505
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: