Healthcare Provider Details

I. General information

NPI: 1457488843
Provider Name (Legal Business Name): CIRINO G SESTO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

481 S WELLWOOD AVE
LINDENHURST NY
11757-4937
US

IV. Provider business mailing address

481 S WELLWOOD AVE
LINDENHURST NY
11757-4937
US

V. Phone/Fax

Practice location:
  • Phone: 631-450-4773
  • Fax: 631-450-4774
Mailing address:
  • Phone: 631-450-4773
  • Fax: 631-450-4774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX010511
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: