Provider Demographics
NPI:1952527699
Name:LOCASCIO, JOSEPH A (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:A
Last Name:LOCASCIO
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 1:3 RYE RIDGE PLZ
Mailing Address - Street 2:SUITE 172
Mailing Address - City:RYE BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:10573-2822
Mailing Address - Country:US
Mailing Address - Phone:914-723-7272
Mailing Address - Fax:
Practice Address - Street 1:3 RYE RIDGE PLZ
Practice Address - Street 2:SUITE 172
Practice Address - City:RYE BROOK
Practice Address - State:NY
Practice Address - Zip Code:10573-2822
Practice Address - Country:US
Practice Address - Phone:914-723-7272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX002461-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYC02461-4OtherWORKER'S COMPENSATION