Individual provider · Type 1 NPI
Gary Gasper Difatta, DC
Chiropractor · Lindenhurst, NY
NPI number
1043391592
Active
Practice location
113 A South Wellwood Avenue
Lindenhurst, NY 11757
Fax (631) 225-7653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X06832-1 (NY) |
Chiropractor: 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 interrelationship with other body systems.
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About NPI 1043391592
Gary Gasper Difatta, DC's National Provider Identifier is 1043391592, issued on Oct 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Lindenhurst, NY. The record was last updated on Jul 8, 2007.