Provider Demographics
NPI:1679630248
Name:NAWY, JOYCE JOAN (DC)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:JOAN
Last Name:NAWY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 WEST 111 ST
Mailing Address - Street 2:#6E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-1964
Mailing Address - Country:US
Mailing Address - Phone:212-666-3318
Mailing Address - Fax:212-665-3353
Practice Address - Street 1:315 WEST 57TH ST
Practice Address - Street 2:#309
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3158
Practice Address - Country:US
Practice Address - Phone:212-315-3606
Practice Address - Fax:212-765-2990
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX003758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
T52553Medicare UPIN
NYX20711Medicare ID - Type Unspecified