Provider Demographics
NPI:1518049501
Name:NORRIS, JOYCE MARIE (DC)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:MARIE
Last Name:NORRIS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MRS
Other - First Name:JOYCE
Other - Middle Name:MARIE
Other - Last Name:VOJAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:20720 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360-2403
Mailing Address - Country:US
Mailing Address - Phone:347-581-2350
Mailing Address - Fax:516-742-6807
Practice Address - Street 1:403 WILLIS AVE
Practice Address - Street 2:
Practice Address - City:WILLISTON PARK
Practice Address - State:NY
Practice Address - Zip Code:11596-2225
Practice Address - Country:US
Practice Address - Phone:516-742-2442
Practice Address - Fax:516-742-6807
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX010257-2111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU93800Medicare UPIN
NYX4Z653Medicare ID - Type Unspecified