Provider Demographics
NPI:1720012651
Name:DOYLE, JOYCE M (NP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:M
Last Name:DOYLE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SQUADRON BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-5200
Mailing Address - Country:US
Mailing Address - Phone:184-563-9315
Mailing Address - Fax:184-563-9072
Practice Address - Street 1:170 JAYNE AVE
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-2835
Practice Address - Country:US
Practice Address - Phone:914-498-1550
Practice Address - Fax:914-666-1976
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF400933363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health