Stephan Giuffrida I, D.C.

Individual provider Active NPI Chiropractor · Tuckahoe, NY

NPI 1477964591 · NPPES record last updated Dec 26, 2018

Key facts

NPI
1477964591
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
012501 (NY)
Practice address
335 Columbus Ave
Tuckahoe, NY 10707-1706
Phone
(914) 779-5800
Fax
(914) 779-5800
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

335 Columbus Ave
Tuckahoe, NY 10707-1706
Phone (914) 779-5800

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150107001270 NY Practitioner - Chiropractic 8921321514 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Spine and Joint Group LLC Chiropractor Current
since Oct 8, 2014
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012501 NY Yes

Addresses

Primary practice location

335 Columbus Ave
Tuckahoe, NY 10707-1706

Mailing address

335 Columbus Ave
Tuckahoe, NY 10707-1706
Phone (914) 779-5800

Other identifiers

IdentifierTypeStateIssuer
012501OtherNYLICENCE

Other providers in Tuckahoe, NY

All providers in Tuckahoe, NY · Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.