Provider Demographics
NPI:1043612351
Name:ATANASIO, JOSEPH F III
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:F
Last Name:ATANASIO
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 112TH ST OFC B
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5467
Mailing Address - Country:US
Mailing Address - Phone:862-216-8398
Mailing Address - Fax:718-873-2089
Practice Address - Street 1:7210 112TH ST OFC B
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-5467
Practice Address - Country:US
Practice Address - Phone:862-216-8398
Practice Address - Fax:718-873-2089
Is Sole Proprietor?:No
Enumeration Date:2014-09-17
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist