Provider Demographics
NPI:1265890370
Name:JOYCE, RACHEL (MSED)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:JOYCE
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2662 30TH ST
Mailing Address - Street 2:APT. 3
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11102-2136
Mailing Address - Country:US
Mailing Address - Phone:845-304-9147
Mailing Address - Fax:
Practice Address - Street 1:2662 30TH ST
Practice Address - Street 2:APT. 3
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11102-2136
Practice Address - Country:US
Practice Address - Phone:845-304-9147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY873161141252Y00000X
252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency