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Dr. Gary Gasper Difatta, DC
Chiropractor in Lindenhurst, New York
NPI 1043391592

Gary Gasper Difatta is a Chiropractor based in Lindenhurst, NY. Gary Gasper Difatta practices in Lindenhurst, NY and has the professional credentials of DC. The NPI Number for Gary Gasper Difatta is 1043391592 and holds a License No. X06832-1 (New York).

The current practice location address for Gary Gasper Difatta is 113 A South Wellwood Avenue, Lindenhurst, NY and can be reached out via phone at 631-225-7630 and via fax at 631-225-7653.

Location: 113 A South Wellwood Avenue, Lindenhurst, NY, 11757
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043391592
Provider Name
Gary Gasper Difatta
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
113 A South Wellwood Avenue, Lindenhurst, NY, 11757
Phone Number
631-225-7630
Fax Number
631-225-7653
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
11-3168353 01 NY TAX ID
institution
Provider Business Practice Location Address Details
Address
113 A South Wellwood Avenue
City
Lindenhurst
State
New York
Zip
11757
Phone Number
631-225-7630
Fax Number
631-225-7653
person
Provider Business Mailing Address Details
Address
113 A South Wellwood Avenue
City
Lindenhurst
State
New York
Zip
11757
Phone Number
631-225-7630
Fax Number
631-225-7653
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
X06832-1 (New York)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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