Provider Demographics
NPI:1699718296
Name:STRIANO, PHILIP G JR (DC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:G
Last Name:STRIANO
Suffix:JR
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 1:88 ASHFORD AVE
Mailing Address - Street 2:
Mailing Address - City:DOBBS FERRY
Mailing Address - State:NY
Mailing Address - Zip Code:10522-1812
Mailing Address - Country:US
Mailing Address - Phone:914-693-1408
Mailing Address - Fax:914-693-1409
Practice Address - Street 1:88 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1812
Practice Address - Country:US
Practice Address - Phone:914-693-1408
Practice Address - Fax:914-693-1409
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007652-1111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX63211Medicare ID - Type Unspecified