Gary Gasper Difatta in Lindenhurst - Chiropractor
Gary Gasper Difatta - NPI 1043391592
Gary Gasper Difatta is a Chiropractor in Lindenhurst, New York. Gary Gasper Difatta practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gary Gasper Difatta is 1043391592. The last update date is 2007-07-08.
Gary Gasper Difatta's current location address is 113 A South Wellwood Avenue, Lindenhurst, New York. You can contact this provider via phone number 6312257630 and fax number 6312257653. The mailing address for Gary Gasper Difatta is 113 A South Wellwood Avenue, Lindenhurst, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Gasper Difatta |
|---|---|
| Address | 113 A South Wellwood Avenue, Lindenhurst, New York |
| Phone Number | 6312257630 |
| Fax Number | 6312257653 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1043391592 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 113 A South Wellwood Avenue |
|---|---|
| City | Lindenhurst |
| State | New York (NY) |
| Post Code | 11757 |
| Phone Number | 6312257630 |
| Fax Number | 6312257653 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | X06832-1 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11-3168353 | NY | TAX ID |
Post Comment/ Review Below
What is the Gary Gasper Difatta's unique identification number?
The Gary Gasper Difatta has been assigned the NPI (National Provider Identifier) Number 1043391592 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Gary Gasper Difatta's facilities are geographically located?
The facilities of Gary Gasper Difatta are physically situated at the following location: 113 A South Wellwood Avenue, Lindenhurst, NY, 11757.
What is the Gary Gasper Difatta's specialty and taxonomy code?
The Gary Gasper Difatta's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Gary Gasper Difatta receive the assignment of its 1043391592 from the Centers for Medicare & Medicaid Services?
The Gary Gasper Difatta was issued its 1043391592 by the Centers for Medicare & Medicaid Services on 2006-10-18.
When was the Gary Gasper Difatta's information last updated?
The Gary Gasper Difatta's information was last updated on 2007-07-08.