Provider Demographics
NPI:1568424372
Name:HIGGINS, JOSEPH JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:JAMES
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21 OLD MAIN ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-1883
Mailing Address - Country:US
Mailing Address - Phone:845-897-2341
Mailing Address - Fax:845-897-2152
Practice Address - Street 1:CENTER FOR CHILD NEUROLOGY
Practice Address - Street 2:21 OLD MAIN STREET, SUITE 101
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524
Practice Address - Country:US
Practice Address - Phone:845-897-0011
Practice Address - Fax:845-897-2152
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1641322084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY081885712Medicaid
NYJH413N51Medicare ID - Type Unspecified