Healthcare Provider Details

I. General information

NPI: 1811202526
Provider Name (Legal Business Name): JOICE SAMUEL MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2010
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 WHITE PLAINS RD
BRONX NY
10467-8129
US

IV. Provider business mailing address

2901 WHITE PLAINS RD
BRONX NY
10467-8129
US

V. Phone/Fax

Practice location:
  • Phone: 718-231-2300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MIRDULA SHARMA
Title or Position: PEDIATRICIAN/OWNER
Credential: MD
Phone: 718-708-4594