Provider Demographics
NPI:1669551602
Name:CIRRONE, JANET M (DC)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:CIRRONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 STATION RD BLDG 7
Mailing Address - Street 2:
Mailing Address - City:WATER MILL
Mailing Address - State:NY
Mailing Address - Zip Code:11976-2451
Mailing Address - Country:US
Mailing Address - Phone:631-283-1300
Mailing Address - Fax:
Practice Address - Street 1:50 STATION RD BLDG 7
Practice Address - Street 2:
Practice Address - City:WATER MILL
Practice Address - State:NY
Practice Address - Zip Code:11976-2451
Practice Address - Country:US
Practice Address - Phone:631-283-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
NYX007563-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX10571Medicare ID - Type UnspecifiedEMPIRE BCBS MEDICARE
NYU58031Medicare UPIN