Provider Demographics
NPI:1194149245
Name:CHIROPRACTIC SERVICES OF UTICA P.C.
Entity type:Organization
Organization Name:CHIROPRACTIC SERVICES OF UTICA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:SAL
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PINTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:315-732-0212
Mailing Address - Street 1:2700 GENESEE ST
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13502-6103
Mailing Address - Country:US
Mailing Address - Phone:315-732-0212
Mailing Address - Fax:315-732-2549
Practice Address - Street 1:2700 GENESEE ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13502-6103
Practice Address - Country:US
Practice Address - Phone:315-732-0212
Practice Address - Fax:315-732-2549
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-10
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011381-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty