Provider Demographics
NPI:1538234109
Name:PIERATTI, LAWRENCE D (DC)
Entity type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:D
Last Name:PIERATTI
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 1:1078 ROUTE 52
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:NY
Mailing Address - Zip Code:10512-4727
Mailing Address - Country:US
Mailing Address - Phone:845-225-0046
Mailing Address - Fax:845-225-0069
Practice Address - Street 1:1078 ROUTE 52
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:NY
Practice Address - Zip Code:10512-4727
Practice Address - Country:US
Practice Address - Phone:845-225-0046
Practice Address - Fax:845-225-0069
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006308111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX43881Medicare UPIN