Provider Demographics
NPI:1073590527
Name:RUGANI, SILVIO THOMAS (DC)
Entity Type:Individual
Prefix:MR
First Name:SILVIO
Middle Name:THOMAS
Last Name:RUGANI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:HALFMOON
Mailing Address - State:NY
Mailing Address - Zip Code:12065-6597
Mailing Address - Country:US
Mailing Address - Phone:518-348-6366
Mailing Address - Fax:518-348-6367
Practice Address - Street 1:1515 ROUTE 9
Practice Address - Street 2:
Practice Address - City:HALFMOON
Practice Address - State:NY
Practice Address - Zip Code:12065-6597
Practice Address - Country:US
Practice Address - Phone:518-348-6366
Practice Address - Fax:518-348-6367
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-27
Last Update Date:2020-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRA6034Medicare ID - Type UnspecifiedCHIROPRACTIC
NYU84067Medicare UPIN