Provider Demographics
NPI:1295936474
Name:MAY, JOSEPH EDWIN (MD)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:EDWIN
Last Name:MAY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 E MAIN STREET
Mailing Address - Street 2:SUITE E
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-2958
Mailing Address - Country:US
Mailing Address - Phone:631-423-2228
Mailing Address - Fax:631-351-7038
Practice Address - Street 1:152 E MAIN STREET
Practice Address - Street 2:SUITE E
Practice Address - City:HUNTINGTON
Practice Address - State:NY
Practice Address - Zip Code:11743-2958
Practice Address - Country:US
Practice Address - Phone:631-423-2228
Practice Address - Fax:631-351-7038
Is Sole Proprietor?:No
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY120078207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
B78448Medicare UPIN
NY632291Medicare ID - Type Unspecified