Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NX0800X | Chiropractor Orthopedic Specialist | 38MC00513300 | NJ |
Y | 111NX0800X | Chiropractor Orthopedic Specialist | X006848-1 | NY |
NPI | 1609913268 |
---|---|
Provider Name | Dr. Rory M Ciuffo |
First Address | Bethpage, NY 11714-3459 |
Second Address | Bethpage, NY 11714-3459 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |