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

TaxonomyCodeLicense
Chiropractor Primary 111N00000XX06832-1 (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.