Provider Demographics
NPI:1467469973
Name:MAGGIO, FERDINAND LEONARD (DC)
Entity Type:Individual
Prefix:DR
First Name:FERDINAND
Middle Name:LEONARD
Last Name:MAGGIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:FRED
Other - Middle Name:L
Other - Last Name:MAGGIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:66 N WANTAGH AVE
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:11756-5301
Mailing Address - Country:US
Mailing Address - Phone:516-796-0100
Mailing Address - Fax:516-796-0954
Practice Address - Street 1:66 N WANTAGH AVE
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:NY
Practice Address - Zip Code:11756-5301
Practice Address - Country:US
Practice Address - Phone:516-796-0100
Practice Address - Fax:516-796-0954
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX001784-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC-01784-DOtherWORKERS COMPENSATION
NYX10081Medicare ID - Type Unspecified
NYT51899Medicare UPIN