Provider Demographics
NPI:1184701997
Name:LABBADIA, JOSEPH MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MICHAEL
Last Name:LABBADIA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:999 MONTAUK HWY UNIT 32
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11967-2155
Mailing Address - Country:US
Mailing Address - Phone:631-369-4292
Mailing Address - Fax:631-443-4493
Practice Address - Street 1:140 N BELLE MEAD RD
Practice Address - Street 2:SUITE D
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-6400
Practice Address - Country:US
Practice Address - Phone:631-369-4292
Practice Address - Fax:631-443-4493
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY70 008936111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC08936-9OtherWORKERS COMP NUMBER
NYC08936-9OtherWORKERS COMP NUMBER