Provider Demographics
NPI:1770772709
Name:SAFKO, RONALD E (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:E
Last Name:SAFKO
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 1:509 MADISON AVE
Mailing Address - Street 2:SUITE 1214
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-5501
Mailing Address - Country:US
Mailing Address - Phone:212-758-1350
Mailing Address - Fax:212-593-3352
Practice Address - Street 1:509 MADISON AVE
Practice Address - Street 2:SUITE 1214
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-5501
Practice Address - Country:US
Practice Address - Phone:212-758-1350
Practice Address - Fax:212-593-3352
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-16
Last Update Date:2007-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003103111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic