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NPI Code Detail

MEDICARE: DR. GREGORI S. PASQUA D.C.

MEDICARE:  DR. GREGORI S. PASQUA  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorX002194NY

General Provider Information

NPI Number : 1942200589
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORI S. PASQUA D.C.
Provider Business Mailing Address
First Line : 3350 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10467-5701
Country : US
Telephone Number : 718-654-2594
Fax Number : 718-654-4753
Provider Business Practice Location Address
First Line : 3350 WHITE PLAINS RD
Second Line :
City : BRONX
State : NY
Zip : 10467-5701
Country : US
Telephone Number : 718-654-2594
Fax Number : 718-654-4753
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 02/12/2008

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Directions to “ DR. GREGORI S. PASQUA D.C.” Practice Location

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