Individual provider · Type 1 NPI
John Crocirto Gavencak, DC
Chiropractor · Center Moriches, NY
NPI number
1104911262
Active
Practice location
326 Main St
Center Moriches, NY 11934-3509
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | X010539 (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.
Other chiropractor providers in Center Moriches
About NPI 1104911262
John Crocirto Gavencak, DC's National Provider Identifier is 1104911262, issued on Oct 4, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Center Moriches, NY. The record was last updated on Feb 10, 2009.