Provider Demographics
NPI:1770602377
Name:CARLINO, ANTONINO (DC)
Entity type:Individual
Prefix:DR
First Name:ANTONINO
Middle Name:
Last Name:CARLINO
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 1:400 RED CREEK DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-4273
Mailing Address - Country:US
Mailing Address - Phone:585-334-5560
Mailing Address - Fax:585-334-5581
Practice Address - Street 1:1160 CHILI AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3035
Practice Address - Country:US
Practice Address - Phone:585-334-5560
Practice Address - Fax:585-334-5581
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX 010845111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU 99215Medicare UPIN
NYIA 0476Medicare ID - Type Unspecified