Provider Demographics
NPI:1427128883
Name:JOANNE FLORIO
Entity type:Organization
Organization Name:JOANNE FLORIO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORIO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:845-425-6900
Mailing Address - Street 1:715 SADDLE RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:CHESTNUT RIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:10952
Mailing Address - Country:US
Mailing Address - Phone:845-425-6900
Mailing Address - Fax:845-426-0491
Practice Address - Street 1:715 SADDLE RIVER ROAD
Practice Address - Street 2:
Practice Address - City:CHESTNUT RIDGE
Practice Address - State:NY
Practice Address - Zip Code:10952
Practice Address - Country:US
Practice Address - Phone:845-425-6900
Practice Address - Fax:845-426-0491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX0048101111N00000X
MD01583111N00000X
NY0047411133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Not Answered133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
18063Medicare UPIN
NYX36061Medicare ID - Type Unspecified