Provider Demographics
NPI:1679829402
Name:INFANTE, JOICE MARGARET
Entity Type:Individual
Prefix:
First Name:JOICE
Middle Name:MARGARET
Last Name:INFANTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5439 100TH ST
Mailing Address - Street 2:APT 702
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3749
Mailing Address - Country:US
Mailing Address - Phone:347-561-2554
Mailing Address - Fax:
Practice Address - Street 1:5439 100TH ST
Practice Address - Street 2:APT 702
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368-3749
Practice Address - Country:US
Practice Address - Phone:347-561-2554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-30
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program