Provider Demographics
NPI:1043471832
Name:VETERE, JOSEPH C (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:VETERE
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 1:4377 BRONX BLVD
Mailing Address - Street 2:303
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10466-1397
Mailing Address - Country:US
Mailing Address - Phone:718-708-6067
Mailing Address - Fax:
Practice Address - Street 1:4377 BRONX BLVD
Practice Address - Street 2:303
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10466-1397
Practice Address - Country:US
Practice Address - Phone:718-708-6067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-24
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX24361Medicare PIN