Provider Demographics
NPI:1700347317
Name:JOY, CYRIL (DO)
Entity Type:Individual
Prefix:
First Name:CYRIL
Middle Name:
Last Name:JOY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:179 N BELLE MEAD RD STE 3
Mailing Address - Street 2:
Mailing Address - City:EAST SETAUKET
Mailing Address - State:NY
Mailing Address - Zip Code:11733-3528
Mailing Address - Country:US
Mailing Address - Phone:631-751-3322
Mailing Address - Fax:
Practice Address - Street 1:179 N BELLE MEAD RD STE 3
Practice Address - Street 2:
Practice Address - City:EAST SETAUKET
Practice Address - State:NY
Practice Address - Zip Code:11733-3528
Practice Address - Country:US
Practice Address - Phone:631-751-3322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-27
Last Update Date:2023-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY314463207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine