Provider Demographics
NPI:1528541018
Name:LUMIA, JOSEPH CHARLES (PA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:CHARLES
Last Name:LUMIA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SENECA ST STE 4
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2743
Mailing Address - Country:US
Mailing Address - Phone:315-363-1345
Mailing Address - Fax:315-363-9243
Practice Address - Street 1:600 SENECA ST STE 4
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2743
Practice Address - Country:US
Practice Address - Phone:315-361-1623
Practice Address - Fax:315-363-9243
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP13166363AM0700X
IL085009866363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical