John Crocirto Gavencak in Center Mariches - Chiropractor
John Crocirto Gavencak - NPI 1104911262
John Crocirto Gavencak is a Chiropractor in Center Mariches, New York. John Crocirto Gavencak practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Crocirto Gavencak is 1104911262. The last update date is 2009-02-10.
John Crocirto Gavencak's current location address is 326 Main St, Center Mariches, New York. You can contact this provider via phone number 6313998888 and fax number 6313993246. The mailing address for John Crocirto Gavencak is 326 Main St, Center Mariches, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Crocirto Gavencak |
|---|---|
| Address | 326 Main St, Center Mariches, New York |
| Phone Number | 6313998888 |
| Fax Number | 6313993246 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1104911262 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2009-02-10 |
Provider Mailing Address Detail
| Address | 326 Main St |
|---|---|
| City | Center Mariches |
| State | New York (NY) |
| Post Code | 11934 |
| Phone Number | 6313998888 |
| Fax Number | 6313993246 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | X010539 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the John Crocirto Gavencak's unique identification number?
The John Crocirto Gavencak has been assigned the NPI (National Provider Identifier) Number 1104911262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the John Crocirto Gavencak's physical address?
The John Crocirto Gavencak is physically located at 326 Main St, in the city of Center Mariches, NY, with the postal code 11934.
What is John Crocirto Gavencak's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Crocirto Gavencak's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did John Crocirto Gavencak receive its 1104911262 assignment?
The John Crocirto Gavencak was assigned its 1104911262 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding John Crocirto Gavencak, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to John Crocirto Gavencak, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-02-10.