Healthcare Provider Details

I. General information

NPI: 1437546280
Provider Name (Legal Business Name): SARACENO CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 04/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 ROUNDTREE DR
PLAINVIEW NY
11803-4011
US

IV. Provider business mailing address

83 ROUNDTREE DR
PLAINVIEW NY
11803-4011
US

V. Phone/Fax

Practice location:
  • Phone: 516-622-1113
  • Fax: 516-622-4473
Mailing address:
  • Phone: 516-622-1113
  • Fax: 516-622-4473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. DAN SARECENO
Title or Position: OWNER
Credential: DC
Phone: 516-622-1113