Provider Demographics
NPI:1093881872
Name:TOCCI, EMIL ANTHONY IV (DC)
Entity Type:Individual
Prefix:DR
First Name:EMIL
Middle Name:ANTHONY
Last Name:TOCCI
Suffix:IV
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 1:3089 LAWSON BLVD
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2939
Mailing Address - Country:US
Mailing Address - Phone:516-766-1717
Mailing Address - Fax:516-764-1490
Practice Address - Street 1:3089 LAWSON BLVD
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2939
Practice Address - Country:US
Practice Address - Phone:516-766-1717
Practice Address - Fax:516-764-1490
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-26
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010133-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX4H752Medicare ID - Type Unspecified
NYU86079Medicare UPIN