Provider Demographics
NPI:1194851279
Name:GIOFFRE, DARYL BARRETT (DC)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:BARRETT
Last Name:GIOFFRE
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 1:1020 PARK AVE OFC NE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10028-0913
Mailing Address - Country:US
Mailing Address - Phone:212-472-5558
Mailing Address - Fax:
Practice Address - Street 1:1020 PARK AVE OFC NE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10028-0913
Practice Address - Country:US
Practice Address - Phone:212-472-5558
Practice Address - Fax:212-472-3552
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY201689273OtherEMPLOYER IDENTIFICATION