Provider Demographics
NPI:1346234572
Name:GREGORY N JOY, MD PLLC
Entity Type:Organization
Organization Name:GREGORY N JOY, MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:N
Authorized Official - Last Name:JOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-698-8600
Mailing Address - Street 1:8280 WILLETT PKWY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-1320
Mailing Address - Country:US
Mailing Address - Phone:315-698-8600
Mailing Address - Fax:315-698-0104
Practice Address - Street 1:8280 WILLETT PKWY
Practice Address - Street 2:SUITE 204
Practice Address - City:BALDWINSVILLE
Practice Address - State:NY
Practice Address - Zip Code:13027-1320
Practice Address - Country:US
Practice Address - Phone:315-698-8600
Practice Address - Fax:315-698-0104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-02
Last Update Date:2008-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0097Medicare PIN