Provider Demographics
NPI:1093847279
Name:GASKO-MAGLIONE, VERONICA P (DC)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:P
Last Name:GASKO-MAGLIONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:VERONICA
Other - Middle Name:P
Other - Last Name:MAGLIONE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:250 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11751-3415
Mailing Address - Country:US
Mailing Address - Phone:631-224-7855
Mailing Address - Fax:631-224-7850
Practice Address - Street 1:250 MAIN ST
Practice Address - Street 2:
Practice Address - City:ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11751-3415
Practice Address - Country:US
Practice Address - Phone:631-224-7855
Practice Address - Fax:631-224-7850
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006760-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX6V821Medicare ID - Type Unspecified