Provider Demographics
NPI:1902907918
Name:SIGILLO, CHRISTOPHER J (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:J
Last Name:SIGILLO
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 1:18 GRAVES ST
Mailing Address - Street 2:
Mailing Address - City:BROCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14420-1206
Mailing Address - Country:US
Mailing Address - Phone:585-637-3630
Mailing Address - Fax:585-637-3641
Practice Address - Street 1:54 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BROCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14420-1649
Practice Address - Country:US
Practice Address - Phone:585-637-3630
Practice Address - Fax:585-637-3641
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008823111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6190070001Medicare NSC