Provider Demographics
NPI:1518015221
Name:BIASILLO, JOSEPH FRANCIS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:BIASILLO
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 1:1064 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
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2010-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX008006-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000224721002OtherBC/BS OF WNY (2008)
NY00020326502OtherUNIVERA
NY01751326Medicaid
NY8810060OtherINDEPENDENT HEALTH
NY0185980OtherGHI
NY1083780OtherFIRST HEALTH
NYX0U18-1OtherEMPIRE BCBS
NY112366900OtherACS
NY261445082-01OtherPRISM (2008)
NYP00628372OtherRR MEDICARE PTAN (IND)
NY119317ANOtherPREFERRED CARE
NY612964100OtherACS - OWCP
NYBA0429Medicare PIN
NY112366900OtherACS
NY119317ANOtherPREFERRED CARE