Provider Demographics
NPI:1164799508
Name:LA VOY, JAMES EARL (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:EARL
Last Name:LA VOY
Suffix:
Gender:M
Credentials:RPA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:257 GOLD STREET
Mailing Address - Street 2:# 6 J
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201
Mailing Address - Country:US
Mailing Address - Phone:646-761-2584
Mailing Address - Fax:
Practice Address - Street 1:257 GOLD ST
Practice Address - Street 2:# 6 J
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-2034
Practice Address - Country:US
Practice Address - Phone:646-761-2584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015133363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical