Healthcare Provider Details

I. General information

NPI: 1609913268
Provider Name (Legal Business Name): RORY M CIUFFO D.C, D.A.B.C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

176 HICKSVILLE RD
BETHPAGE NY
11714-3459
US

IV. Provider business mailing address

176 HICKSVILLE RD
BETHPAGE NY
11714-3459
US

V. Phone/Fax

Practice location:
  • Phone: 516-796-0319
  • Fax: 516-796-0849
Mailing address:
  • Phone: 516-796-0319
  • Fax: 516-796-0849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License NumberX006848-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number38MC00513300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: