Scott Louis Cavagnuolo, DC

Individual provider Active NPI Chiropractor · East Norwich, NY

NPI 1508069733 · NPPES record last updated Jul 9, 2008

Key facts

NPI
1508069733
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
X010662 (NY)
Practice address
914 Oyster Bay Rd
East Norwich, NY 11732
Phone
(516) 922-8181
Fax
(516) 922-8183
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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 participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
X010662NYMDChiropractor
010662NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau County Chiropractic, PC Chiropractor Current Accepting new patients
Advanced Physical Therapy of Merrick, PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010662 NY Yes

Addresses

Primary practice location

914 Oyster Bay Rd
East Norwich, NY 11732

Mailing address

914 Oyster Bay Rd
East Norwich, NY 11732
Phone (516) 922-8181

Other providers in East Norwich, NY

All providers in East Norwich, NY · Chiropractor in New York

Sources for this page

Verify at the official NPI Registry.