Provider Demographics
NPI:1649844325
Name:WEIL, JOYCE (PHD)
Entity type:Individual
Prefix:DR
First Name:JOYCE
Middle Name:
Last Name:WEIL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 W 81ST ST APT 15D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-6022
Mailing Address - Country:US
Mailing Address - Phone:917-743-8119
Mailing Address - Fax:
Practice Address - Street 1:945 5TH AVE OFC 2
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-2667
Practice Address - Country:US
Practice Address - Phone:917-743-8119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-17
Last Update Date:2021-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006127103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY006127OtherNEW YORK STATE LICENSE
NY006127OtherNEW YORK STATE DEPT OF LICENSURE