Provider Demographics
NPI:1689086688
Name:JOY AGENCY, LLC
Entity Type:Organization
Organization Name:JOY AGENCY, LLC
Other - Org Name:JOY FOR KIDS
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE- PRESIDENT/PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEI
Authorized Official - Middle Name:LING
Authorized Official - Last Name:MARK-PISCIOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-237-3450
Mailing Address - Street 1:2748 OCEAN AVE
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-4708
Mailing Address - Country:US
Mailing Address - Phone:646-237-3450
Mailing Address - Fax:646-237-3460
Practice Address - Street 1:2748 OCEAN AVE
Practice Address - Street 2:4TH FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-4708
Practice Address - Country:US
Practice Address - Phone:646-237-3450
Practice Address - Fax:646-237-3460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-24
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4581349252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency