Provider Demographics
NPI:1073796850
Name:JOSEPH F. BIASILLO, DC, LLP
Entity Type:Organization
Organization Name:JOSEPH F. BIASILLO, DC, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:BIASILLO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-677-0737
Mailing Address - Street 1:1064 UNION RD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3449
Mailing Address - Country:US
Mailing Address - Phone:716-677-0737
Mailing Address - Fax:716-677-0767
Practice Address - Street 1:1064 UNION RD
Practice Address - Street 2:SUITE 1
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3449
Practice Address - Country:US
Practice Address - Phone:716-677-0737
Practice Address - Fax:716-677-0767
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-14
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX080061111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYDN6043OtherRR MEDICARE PTAN (GRP)
NY000224721002OtherBC/BS
612964100OtherACS / OWCP
NY0185980OtherGHI
NY8810060OtherINDEPENDENT HEALTH
NYBA1339OtherMEDICARE PTAN (GRP)
00020326502OtherUNIVERA
NY8810060OtherINDEPENDENT HEALTH
NY8810060OtherINDEPENDENT HEALTH