Provider Demographics
NPI:1114008042
Name:CARRINO, ANTHONY J (DC)
Entity type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:CARRINO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:619 MONTAUK HWY
Mailing Address - Street 2:
Mailing Address - City:WEST ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11795
Mailing Address - Country:US
Mailing Address - Phone:631-321-1850
Mailing Address - Fax:631-321-1882
Practice Address - Street 1:619 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WEST ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11795
Practice Address - Country:US
Practice Address - Phone:631-321-1850
Practice Address - Fax:631-321-1882
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0059181111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP429813OtherOXFORD
NYSF0002361OtherSELECT PRO
NY4215854OtherAETNA
NY0059031OtherBHI
NY100128031601OtherAMERICHOICE
NYP429813OtherOXFORD
NY4215854OtherAETNA