Provider Demographics
NPI:1811099344
Name:GARVEY-D'ORSANEO, JOANNA MARIE (DC)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:MARIE
Last Name:GARVEY-D'ORSANEO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JOANNA
Other - Middle Name:MARIE
Other - Last Name:GARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:1330 NIAGARA FALLS BLVD, STE 4
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150
Mailing Address - Country:US
Mailing Address - Phone:716-833-1239
Mailing Address - Fax:716-833-0876
Practice Address - Street 1:1330 NIAGARA FALLS BLVD, STE 4
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150
Practice Address - Country:US
Practice Address - Phone:716-833-1239
Practice Address - Fax:716-833-0876
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-04
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9175111N00000X
NYX011188111N00000X
CADC - 30037111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor