Provider Demographics
NPI:1609913268
Name:CIUFFO, RORY M (DC, DABCO)
Entity Type:Individual
Prefix:DR
First Name:RORY
Middle Name:M
Last Name:CIUFFO
Suffix:
Gender:M
Credentials:DC, DABCO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:176 HICKSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BETHPAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11714-3459
Mailing Address - Country:US
Mailing Address - Phone:516-796-0319
Mailing Address - Fax:516-796-0849
Practice Address - Street 1:176 HICKSVILLE RD
Practice Address - Street 2:
Practice Address - City:BETHPAGE
Practice Address - State:NY
Practice Address - Zip Code:11714-3459
Practice Address - Country:US
Practice Address - Phone:516-796-0319
Practice Address - Fax:516-796-0849
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006848-1111NX0800X
NJ38MC00513300111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX51971Medicare ID - Type Unspecified