Provider Demographics
NPI:1902831738
Name:GEIGER, VINCENT
Entity Type:Individual
Prefix:DR
First Name:VINCENT
Middle Name:
Last Name:GEIGER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8371 116TH ST
Mailing Address - Street 2:SUITE M2
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-3448
Mailing Address - Country:US
Mailing Address - Phone:718-441-5700
Mailing Address - Fax:718-441-5337
Practice Address - Street 1:8371 116TH ST
Practice Address - Street 2:SUITE M2
Practice Address - City:RICHMOND HILL
Practice Address - State:NY
Practice Address - Zip Code:11418-3448
Practice Address - Country:US
Practice Address - Phone:718-441-5700
Practice Address - Fax:718-441-5337
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX007634111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU72949Medicare UPIN
NY03577KMedicare ID - Type Unspecified