Provider Demographics
NPI:1013489913
Name:BLAIR, JOY E (RN BSN)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:E
Last Name:BLAIR
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:E
Other - Last Name:HALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:295 CARLTON ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14204-1126
Mailing Address - Country:US
Mailing Address - Phone:716-816-3803
Mailing Address - Fax:716-851-3544
Practice Address - Street 1:295 CARLTON ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14204-1126
Practice Address - Country:US
Practice Address - Phone:716-816-3803
Practice Address - Fax:716-851-3544
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY742814-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool