Provider Demographics
NPI:1861555377
Name:ANGYAL, JOEL JOSEPH (DC)
Entity type:Individual
Prefix:MR
First Name:JOEL
Middle Name:JOSEPH
Last Name:ANGYAL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:596 ANDERSON AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010
Mailing Address - Country:US
Mailing Address - Phone:201-945-7880
Mailing Address - Fax:201-945-0485
Practice Address - Street 1:596 ANDERSON AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010
Practice Address - Country:US
Practice Address - Phone:201-945-7880
Practice Address - Fax:201-945-0485
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00325500111N00000X
NYX0048291111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJDR9112OtherOXFORD
T456635Medicare UPIN
NJDR9112OtherOXFORD