Provider Demographics
NPI:1184734469
Name:GARBER, JOYCE S (MD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:S
Last Name:GARBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 EAST WASHINGTON ST
Mailing Address - Street 2:SUITE 423
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13202-4006
Mailing Address - Country:US
Mailing Address - Phone:315-472-1677
Mailing Address - Fax:
Practice Address - Street 1:120 EAST WASHINGTON ST
Practice Address - Street 2:SUITE 423
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13202-4006
Practice Address - Country:US
Practice Address - Phone:315-472-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
31724BMedicare ID - Type Unspecified
D72350Medicare UPIN