Provider Demographics
NPI:1841296951
Name:DEMARCAIDA, JOY ANTENELLE (MD)
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:ANTENELLE
Last Name:DEMARCAIDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:35 TALCOTTVILLE ROAD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066
Mailing Address - Country:US
Mailing Address - Phone:860-896-1422
Mailing Address - Fax:860-896-1425
Practice Address - Street 1:35 TALCOTTVILLE ROAD
Practice Address - Street 2:SUITE 6
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066
Practice Address - Country:US
Practice Address - Phone:860-870-6385
Practice Address - Fax:860-870-0625
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-23
Last Update Date:2022-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT0395842084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTH09565Medicare UPIN
CT130000649Medicare PIN