Provider Demographics
NPI:1609048248
Name:LAURO, GAIL ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:ANN
Last Name:LAURO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 SHAD RD W
Mailing Address - Street 2:
Mailing Address - City:POUND RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10576-2323
Mailing Address - Country:US
Mailing Address - Phone:212-360-7760
Mailing Address - Fax:212-360-7974
Practice Address - Street 1:67 SHAD RD W
Practice Address - Street 2:
Practice Address - City:POUND RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10576-2323
Practice Address - Country:US
Practice Address - Phone:212-360-7760
Practice Address - Fax:212-360-7974
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-24
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX005363111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor