Provider Demographics
NPI:1326027210
Name:GUARIGLIA, JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:
Last Name:GUARIGLIA
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 1:1882 ENSIGN CT
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-3102
Mailing Address - Country:US
Mailing Address - Phone:732-929-1373
Mailing Address - Fax:
Practice Address - Street 1:312 TYSENS LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-2843
Practice Address - Country:US
Practice Address - Phone:718-979-5300
Practice Address - Fax:718-979-5310
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-10
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX2008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX12711Medicare ID - Type Unspecified