Provider Demographics
NPI:1013330786
Name:PAPE, JOY (FNP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:PAPE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:575 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-6102
Mailing Address - Country:US
Mailing Address - Phone:646-962-2111
Mailing Address - Fax:646-962-1059
Practice Address - Street 1:1165 YORK AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-7917
Practice Address - Country:US
Practice Address - Phone:646-962-2111
Practice Address - Fax:646-962-1059
Is Sole Proprietor?:No
Enumeration Date:2014-01-30
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF338473-1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily