Individual
DR. JOHN CROCIRTO GAVENCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
326 MAIN ST, CENTER MORICHES, NY 11934-3509
(631) 399-8888
Mailing address
326 MAIN ST, CENTER MARICHES, NY 11934
(631) 399-8888
(631) 399-3246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010539
NY
Other
Enumeration date
10/04/2006
Last updated
02/10/2009
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