Individual
MANUEL PRISCIANDARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
176 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-6080
(914) 328-6081
Mailing address
174 GRAND ST, WHITE PLAINS, NY 10601-4803
(914) 328-8077
(914) 328-6083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X009096
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
X9B97
BLUE CROSS BLUE SHIELD
NY
Enumeration date
05/09/2007
Last updated
04/13/2016
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