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Individual

DR. JOSEPH ANTHONY BOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., D.A.C.N.B.

Contact information

Practice address
960 TROY SCHENECTADY RD, LATHAM, NY 12110-1610
(518) 608-4778
(618) 608-6470
Mailing address
960 TROY SCHENECTADY RD, LATHAM, NY 12110-1610
(518) 608-4778

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X012350
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X012350
LICENSE NUBER
NY
Enumeration date
04/10/2013
Last updated
11/19/2015
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