Provider Demographics
NPI:1952597379
Name:GIUSTI, CHERYL CLAIRE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:CLAIRE
Last Name:GIUSTI
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 1:4080 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-1542
Mailing Address - Country:US
Mailing Address - Phone:212-928-0900
Mailing Address - Fax:212-928-6553
Practice Address - Street 1:4080 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-1542
Practice Address - Country:US
Practice Address - Phone:212-928-0900
Practice Address - Fax:212-928-6553
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003599111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor