Dr. Gary Gasper Difatta is a Lindenhurst, New York based male chiropractor who is specialized as General Chiropractor. Active license number of Dr. Gary Gasper Difatta as General Chiropractor is X06832-1 in New York. Dr. Gary Gasper Difatta is qualified as 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.
Complete Profile:
Dr. Gary Gasper Difatta speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
D.C.
Gender:
Male
Practice Address:
113 A South Wellwood Avenue, Lindenhurst, New York, 11757
Phone:
631-225-7630
Fax:
631-225-7653
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1043391592
NPI Enumeration Date:
18 Oct, 2006
NPI Last Update On:
08 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gary Gasper Difatta are as mentioned below.
License Number
Specialization
State
Status
X06832-1
Chiropractor
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Gary Gasper Difatta such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
11-3168353
Other
New York
TAX ID
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
113 A South Wellwood Avenue, Lindenhurst, New York
Zip:
11757
Phone Number:
631-225-7630
Fax Number:
631-225-7653
Patients can reach Dr. Gary Gasper Difatta at 113 A South Wellwood Avenue, Lindenhurst, New York or can call to book an appointment on 631-225-7630. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.