Individual
DR. JOSEPH JAMES UPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5718 WOODSIDE AVE, SUITE B102, WOODSIDE, NY 11377-3444
(718) 651-8410
(718) 651-8568
Mailing address
5718 WOODSIDE AVE, SUITE B102, WOODSIDE, NY 11377-3444
(718) 651-8410
(718) 651-8568
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X006116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052266
GHI NO.
NY
05
—
01898140
—
NY
01
—
C0-6116-0
WORKERS' COMPENSATION NO.
NY
01
—
P424398
OXFORD NO.
NY
01
—
X59611
BCBS NO.
NY
Enumeration date
11/30/2006
Last updated
07/09/2007
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