Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 002136 | CT |
Y | 111N00000X | Chiropractor | 012207 | NY |
N | 111N00000X | Chiropractor | 70012207 | NY |
N | 111NN1001X | Nutrition | 70012207 | NY |
N | 111NR0400X | Rehabilitation Chiropractor | 70012207 | NY |
N | 111NS0005X | Chiropractic Sports Physician | 70012207 | NY |
N | 111NX0800X | Chiropractor Orthopedic Specialist | 70012207 | NY |
NPI | 1184962433 |
---|---|
Provider Name | Ms. Carin Marie Piacente |
First Address | Carmel, NY 10512-0492 |
Second Address | Greenwich, CT 06831-5351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2013 |
Last Update Date | 27/01/2021 |