Healthcare Provider Details

I. General information

NPI: 1003741646
Provider Name (Legal Business Name): JOSEPH CIUFO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 W MAIN ST STE 200
BAY SHORE NY
11706-8365
US

IV. Provider business mailing address

94 W MAIN ST STE 200
BAY SHORE NY
11706-8365
US

V. Phone/Fax

Practice location:
  • Phone: 631-213-7933
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberP143207
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: