Provider Demographics
NPI:1578015046
Name:MARCELLO, FRANCO ANTONIO (DC)
Entity type:Individual
Prefix:
First Name:FRANCO
Middle Name:ANTONIO
Last Name:MARCELLO
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 1:16 HIGHLAND PL
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1614
Mailing Address - Country:US
Mailing Address - Phone:716-491-0080
Mailing Address - Fax:
Practice Address - Street 1:16 HIGHLAND PL
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-1614
Practice Address - Country:US
Practice Address - Phone:716-491-0080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012878111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor