Provider Demographics
NPI:1235496977
Name:BARTOLOMEO, JOYCE M (ANP)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:M
Last Name:BARTOLOMEO
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 DANTON LN N
Mailing Address - Street 2:
Mailing Address - City:LOCUST VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:11560-1122
Mailing Address - Country:US
Mailing Address - Phone:516-375-0703
Mailing Address - Fax:
Practice Address - Street 1:17 DANTON LN N
Practice Address - Street 2:
Practice Address - City:LOCUST VALLEY
Practice Address - State:NY
Practice Address - Zip Code:11560-1122
Practice Address - Country:US
Practice Address - Phone:516-375-0703
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301673363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health