Healthcare Provider Details

I. General information

NPI: 1093965717
Provider Name (Legal Business Name): ACIERNO FAMILY CHIROPRACTIC AND REHABILITATION CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 11/21/2022
Certification Date: 11/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

722 W INGOMAR RD
PITTSBURGH PA
15237-4366
US

IV. Provider business mailing address

665 WYNGOLD DR
PITTSBURGH PA
15237-4207
US

V. Phone/Fax

Practice location:
  • Phone: 412-486-6060
  • Fax: 412-486-8290
Mailing address:
  • Phone: 412-364-4660
  • Fax: 412-486-8290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC006819-L
License Number StatePA

VIII. Authorized Official

Name: DR. JOSEPH MARIO ACIERNO
Title or Position: PRESIDENT
Credential: D.C.
Phone: 412-364-4660