Provider Demographics
NPI:1295129781
Name:MARCY, JOYCE (RN)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:MARCY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:JOY
Other - Middle Name:K
Other - Last Name:MARCY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:100 MOORE ST
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-1341
Mailing Address - Country:US
Mailing Address - Phone:516-746-0493
Mailing Address - Fax:
Practice Address - Street 1:100 MOORE ST
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-1341
Practice Address - Country:US
Practice Address - Phone:516-746-0493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY334703163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool