Provider Demographics
NPI:1427127836
Name:OLMO, JOSEPH (DC)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:OLMO
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:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL JUNCTION
Mailing Address - State:NY
Mailing Address - Zip Code:12533-0086
Mailing Address - Country:US
Mailing Address - Phone:516-848-3532
Mailing Address - Fax:
Practice Address - Street 1:1075 ROUTE 82 STE 4
Practice Address - Street 2:
Practice Address - City:HOPEWELL JUNCTION
Practice Address - State:NY
Practice Address - Zip Code:12533-6175
Practice Address - Country:US
Practice Address - Phone:845-221-3555
Practice Address - Fax:845-226-3307
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009583111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYX8D481Medicare PIN
NYU81607Medicare UPIN