Provider Demographics
NPI:1750523411
Name:DAVID, JOYCE A (MD)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:A
Last Name:DAVID
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 FRANKLIN AVE.
Mailing Address - Street 2:FRANKLIN HOSPITAL
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-2145
Mailing Address - Country:US
Mailing Address - Phone:516-256-6353
Mailing Address - Fax:516-256-6347
Practice Address - Street 1:900 FRANKLIN AVE
Practice Address - Street 2:FRANKLIN HOSPITAL
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-2145
Practice Address - Country:US
Practice Address - Phone:516-256-6353
Practice Address - Fax:516-256-6347
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY266429207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine