Provider Demographics
NPI:1285179663
Name:SAVINO CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:SAVINO CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:SAVINO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:518-312-0227
Mailing Address - Street 1:4 NORMANSKILL BLVD
Mailing Address - Street 2:SUITE 404
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-1335
Mailing Address - Country:US
Mailing Address - Phone:518-439-1100
Mailing Address - Fax:518-439-1101
Practice Address - Street 1:4 NORMANSKILL BLVD
Practice Address - Street 2:SUITE 404
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-1335
Practice Address - Country:US
Practice Address - Phone:518-439-1100
Practice Address - Fax:518-439-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-21
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011798111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty