Provider Demographics
NPI:1831333293
Name:CANFIELD, JOY (PHD)
Entity type:Individual
Prefix:DR
First Name:JOY
Middle Name:
Last Name:CANFIELD
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 1:420 LEXINGTON AVE RM 1402
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10170-0040
Mailing Address - Country:US
Mailing Address - Phone:212-297-6115
Mailing Address - Fax:212-479-2515
Practice Address - Street 1:420 LEXINGTON AVE RM 1402
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10170-0040
Practice Address - Country:US
Practice Address - Phone:212-297-6115
Practice Address - Fax:212-479-2515
Is Sole Proprietor?:No
Enumeration Date:2009-04-28
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018056103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400086844Medicare PIN
NYA100086768Medicare PIN