Provider Demographics
NPI:1043306137
Name:GIZONI, CHRISTINE (DC)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:
Last Name:GIZONI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:SAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11782-2708
Mailing Address - Country:US
Mailing Address - Phone:631-589-7814
Mailing Address - Fax:631-589-7809
Practice Address - Street 1:26 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:SAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11782-2708
Practice Address - Country:US
Practice Address - Phone:631-589-7814
Practice Address - Fax:631-589-7809
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002784111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYCO-2784-3OtherWORKMANS COMPENSATION
NY17381Medicare PIN