Healthcare Provider Details

I. General information

NPI: 1174598734
Provider Name (Legal Business Name): SEBASTIAN T. CALIENDO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

180 GREAT EAST NECK RD
WEST BABYLON NY
11704-7821
US

IV. Provider business mailing address

180 GREAT EAST NECK RD
WEST BABYLON NY
11704-7821
US

V. Phone/Fax

Practice location:
  • Phone: 631-661-2323
  • Fax:
Mailing address:
  • Phone: 631-661-2323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number1590
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number000833
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: