Provider Demographics
NPI:1194268193
Name:RECCHIA, JOSEPH DOMINICK (DC, ATC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:DOMINICK
Last Name:RECCHIA
Suffix:
Gender:M
Credentials:DC, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 RUGBY RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10710-1410
Mailing Address - Country:US
Mailing Address - Phone:914-400-7546
Mailing Address - Fax:
Practice Address - Street 1:1385 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:LARCHMONT
Practice Address - State:NY
Practice Address - Zip Code:10538-3933
Practice Address - Country:US
Practice Address - Phone:914-639-3999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-22
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00768700111N00000X
2255A2300X
NY013619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer