Provider Demographics
NPI:1861513384
Name:CAIOZZO, CARL ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:ANTHONY
Last Name:CAIOZZO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2341
Mailing Address - Country:US
Mailing Address - Phone:516-746-6978
Mailing Address - Fax:
Practice Address - Street 1:4410 JESSIE CT
Practice Address - Street 2:
Practice Address - City:LITTLE NECK
Practice Address - State:NY
Practice Address - Zip Code:11363-1925
Practice Address - Country:US
Practice Address - Phone:718-229-3863
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0028371111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor