Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | X-002296 | NY |
NPI | 1003810433 |
---|---|
Provider Name | Dr. Gary A Maggio |
First Address | Bayport, NY 11705-1607 |
Second Address | Bayport, NY 11705-1607 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 23/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10191 | VYTRA (01) | NY |
112504440 | EMPIRE (01) | NY |
1518 | ACCESS (01) | NY |
457024 | US HEALTHCARE (01) | NY |
8570800 | CIGNA (01) | NY |
P463321 | OXFORD (01) | NY |
X8X13 | EMPIRE BLUE CROSS (01) | NY |