Provider Demographics
NPI:1093975922
Name:DENOIA, JOSEPH A (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:A
Last Name:DENOIA
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:PO BOX 487
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-0487
Mailing Address - Country:US
Mailing Address - Phone:845-638-4455
Mailing Address - Fax:845-634-3889
Practice Address - Street 1:230 CONGERS RD
Practice Address - Street 2:
Practice Address - City:NEW CITY
Practice Address - State:NY
Practice Address - Zip Code:10956-6256
Practice Address - Country:US
Practice Address - Phone:845-638-4455
Practice Address - Fax:845-634-3889
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002407-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY911869OtherAETNA
NY911869OtherAETNA
NY5860120001Medicare NSC