Provider Demographics
NPI:1891968657
Name:TACCETTA, JOSEPH ANTHONY (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:TACCETTA
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 1:25 SMITH ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2971
Mailing Address - Country:US
Mailing Address - Phone:845-623-6333
Mailing Address - Fax:845-623-5333
Practice Address - Street 1:25 SMITH ST STE 202
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2971
Practice Address - Country:US
Practice Address - Phone:845-623-6333
Practice Address - Fax:845-623-5333
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011486111NN1001X
NJ38MC00683100111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition