Provider Demographics
NPI:1124543616
Name:GAYO, REY RONALD (DC)
Entity type:Individual
Prefix:DR
First Name:REY
Middle Name:RONALD
Last Name:GAYO
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 1:65 THORPE ST
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5724
Mailing Address - Country:US
Mailing Address - Phone:732-261-1954
Mailing Address - Fax:
Practice Address - Street 1:65 THORPE ST
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5724
Practice Address - Country:US
Practice Address - Phone:732-261-1954
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012997111N00000X
CT002135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor