Provider Demographics
NPI:1114972460
Name:TAFFURI, VINCENT (DC)
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:
Last Name:TAFFURI
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 1:23-00 ROUTE 208 SOUTH
Mailing Address - Street 2:SUITE 2-6
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-2331
Mailing Address - Country:US
Mailing Address - Phone:201-773-0909
Mailing Address - Fax:201-625-6505
Practice Address - Street 1:23-00 ROUTE 208 SOUTH
Practice Address - Street 2:SUITE 2-6
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-2331
Practice Address - Country:US
Practice Address - Phone:201-773-0909
Practice Address - Fax:201-625-6505
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00679600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX1830XFPF1Medicare PIN