1427128883 NPI number — JOANNE FLORIO

Table of content: (NPI 1427128883)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427128883 NPI number — JOANNE FLORIO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOANNE FLORIO
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
CHESTNUT RIDGE CHIROPRACTIC & NUTRITIONIST
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427128883
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
715 SADDLE RIVER ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHESTNUT RIDGE
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-425-6900
Provider Business Mailing Address Fax Number:
845-426-0491

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
715 SADDLE RIVER ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHESTNUT RIDGE
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10952
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-425-6900
Provider Business Practice Location Address Fax Number:
845-426-0491
Provider Enumeration Date:
11/09/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FLORIO
Authorized Official First Name:
JOANNE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
845-425-6900

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  X0048101 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 111N00000X , with the licence number: 01583 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 133N00000X , with the licence number: 0047411 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com