Provider Demographics
NPI:1265902969
Name:LOSEV, JOY ROBIN
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:ROBIN
Last Name:LOSEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 BARNARD AVE
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-2708
Mailing Address - Country:US
Mailing Address - Phone:516-581-0741
Mailing Address - Fax:
Practice Address - Street 1:548 BARNARD AVE
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-2708
Practice Address - Country:US
Practice Address - Phone:516-581-0741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-26
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist