Provider Demographics
NPI:1639223696
Name:DELUNA, JOYLIN CHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOYLIN
Middle Name:CHAN
Last Name:DELUNA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 W 1ST ST
Mailing Address - Street 2:APT. 421
Mailing Address - City:OSWEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13126-4129
Mailing Address - Country:US
Mailing Address - Phone:315-343-5458
Mailing Address - Fax:
Practice Address - Street 1:550 W 1ST ST
Practice Address - Street 2:APT. 421
Practice Address - City:OSWEGO
Practice Address - State:NY
Practice Address - Zip Code:13126-4129
Practice Address - Country:US
Practice Address - Phone:315-343-5458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY258877208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02635261Medicaid
I22485Medicare UPIN
RA5045Medicare ID - Type Unspecified