DR. John Crocirto Gavencak, DC

NPI #1104911262 in Center Moriches, New York

Provider Information

NPI Number: 1104911262
Entity Type: Individual
Name: DR. John Crocirto Gavencak, DC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Chiropractor
Credential: DC
Enumeration Date: Oct 4, 2006
Last Updated: Feb 10, 2009

Practice Location

Address: 326 MAIN ST
City: Center Moriches
State: New York
ZIP Code: 11934-3509
Phone: (631) 399-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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