Provider Demographics
NPI:1679198865
Name:JOKSIMO CO INC.
Entity Type:Organization
Organization Name:JOKSIMO CO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIJA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOKSIMOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:845-642-4349
Mailing Address - Street 1:18 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:NYACK
Mailing Address - State:NY
Mailing Address - Zip Code:10960-4406
Mailing Address - Country:US
Mailing Address - Phone:845-642-4349
Mailing Address - Fax:
Practice Address - Street 1:78 S MIDDLETOWN RD
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2961
Practice Address - Country:US
Practice Address - Phone:845-642-4349
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty