Provider Demographics
NPI:1881668515
Name:JOSEPH, LOIS W (DC)
Entity Type:Individual
Prefix:DR
First Name:LOIS
Middle Name:W
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 FINUCANE PL
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1309
Mailing Address - Country:US
Mailing Address - Phone:516-569-3277
Mailing Address - Fax:516-569-2796
Practice Address - Street 1:118 FINUCANE PL
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1309
Practice Address - Country:US
Practice Address - Phone:516-569-3277
Practice Address - Fax:516-569-2796
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-17
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004561111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYT52822Medicare UPIN