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NPI Code Detail

MEDICARE: DR. JOSEPH ANTHONY BOVA D.C., D.A.C.N.B.

MEDICARE: DR. JOSEPH ANTHONY BOVA D.C., D.A.C.N.B.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorX012350NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1X012350OTHERNYLICENSE NUBER

General Provider Information

NPI Number : 1891138897
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH ANTHONY BOVA D.C., D.A.C.N.B.
Provider Business Mailing Address
First Line : 960 TROY SCHENECTADY RD
Second Line :
City : LATHAM
State : NY
Zip : 12110-1610
Country : US
Telephone Number : 518-608-4778
Fax Number :
Provider Business Practice Location Address
First Line : 960 TROY SCHENECTADY RD
Second Line :
City : LATHAM
State : NY
Zip : 12110-1610
Country : US
Telephone Number : 518-608-4778
Fax Number : 618-608-6470
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2013
Last Update Date : 11/19/2015

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Directions to “ DR. JOSEPH ANTHONY BOVA D.C., D.A.C.N.B.” Practice Location

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