Healthcare Provider Details

I. General information

NPI: 1346234572
Provider Name (Legal Business Name): GREGORY N JOY, MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2005
Last Update Date: 05/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 WILLETT PKWY SUITE 204
BALDWINSVILLE NY
13027-1320
US

IV. Provider business mailing address

8280 WILLETT PKWY SUITE 204
BALDWINSVILLE NY
13027-1320
US

V. Phone/Fax

Practice location:
  • Phone: 315-698-8600
  • Fax: 315-698-0104
Mailing address:
  • Phone: 315-698-8600
  • Fax: 315-698-0104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: GREGORY N JOY
Title or Position: OWNER
Credential: MD
Phone: 315-698-8600