Healthcare Provider Details

I. General information

NPI: 1932193844
Provider Name (Legal Business Name): DAVID RAY CIOFFI DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2005
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

816 ESTELLE DR STE 2
LANCASTER PA
17601-2135
US

IV. Provider business mailing address

816 ESTELLE DR STE 2
LANCASTER PA
17601-2135
US

V. Phone/Fax

Practice location:
  • Phone: 717-892-7214
  • Fax: 717-892-7216
Mailing address:
  • Phone: 717-892-7214
  • Fax: 717-892-7216

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC002831L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: