Healthcare Provider Details

I. General information

NPI: 1205346913
Provider Name (Legal Business Name): JOY OFILI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/08/2017
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 HAWLEY LN STE 1102
STRATFORD CT
06614-1204
US

IV. Provider business mailing address

3263 BLOSSOM TRL
CRANDALL TX
75114-0409
US

V. Phone/Fax

Practice location:
  • Phone: 203-666-8145
  • Fax:
Mailing address:
  • Phone: 646-688-8086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF342088-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: