Provider Demographics
NPI:1457625683
Name:GIOFFRE CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:GIOFFRE CHIROPRACTIC, PLLC
Other - Org Name:GIOFFRE CHIROPRACTIC WELLNESS CENTER, PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DARYL
Authorized Official - Middle Name:BARRETT
Authorized Official - Last Name:GIOFFRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-472-5558
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:212-472-3552
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2018-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010370111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty