Provider Demographics
NPI:1093602674
Name:CARROLL, JOSEPH RAYMOND (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RAYMOND
Last Name:CARROLL
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 1:316 PARMA VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HILTON
Mailing Address - State:NY
Mailing Address - Zip Code:14468-1402
Mailing Address - Country:US
Mailing Address - Phone:585-469-7071
Mailing Address - Fax:
Practice Address - Street 1:3237 UNION ST
Practice Address - Street 2:
Practice Address - City:NORTH CHILI
Practice Address - State:NY
Practice Address - Zip Code:14514-1129
Practice Address - Country:US
Practice Address - Phone:585-617-4145
Practice Address - Fax:585-617-4158
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor